Laserfiche WebLink
. <br /> ApP~ Recd X(;~[ I'U~D. ,Z <br /> <br /> 3-2 5-86 <br />12ate. <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building #225 <br /> 220 High St.., NE 2nd Floor <br /> Salem, Oregon 97301 <br /> <br /> 588-5147 -- 588-5148 <br />5,00 PM ........ CODE-A-Phone ....... 800 AM <br /> <br />Permit No :: 86-253 <br />By Patty <br /> <br />Date 4~4-86 <br /> <br />Type of Permit::_ <br /> <br />MOBsLE HOY% <br /> <br />Address; 8601 HOLMQUIST RD SZ'; A%HSVILLE <br /> MILDRED JACKSON <br /> 74~-2227 <br />Owner" ~'l~~ .Phone;: <br /> <br /> &ENTER: ROBERT SLAT~R <br />Bldr, & No::. Phone:: <br /> <br />& AUTHORIZATION 15535-3 <br /> .Tax Lot NO <br /> <br /> 31 8 lw <br /> _ Seed .Twnshp Rge:: <br /> <br /> PO BOX 1187 AU~SViLLC 9?325 <br /> Address:: <br /> <br />Address:: ...... <br /> <br />Plans by ,Phone;: <br /> <br /> Address' <br /> <br /> I' <br />Min Req ~ror~t I Sides Rear <br />ae, b.ok, .2, O / O O <br /> <br />Lot NO _BIk NO.:: Sub. dy..:: <br />Area of Bldg 2nd Base- <br />Main Fir .Fir ment: . <br /> <br />Roof Type:: Truss/Stink:_ <br />Heating Wood <br />System:: Stove:: <br />Septic Tank New <br />Site Eval Instal:: <br />Exist No, <br />System _Gals," <br /> <br />LetSize:: 272x100 Corner? <br /> <br /> Total <br /> Area:: 28x64 Valuation" <br /> Bldg Permit 2.50 <br /> Neight __ Fee, (+ 5%) __ <br />Water elec <br />Supply .... ~E~m Elect Fee <br /> <br />VALiDATiONS, <br />Zoning' ~ Mechanical:: <br /> <br />Septic Tank' , [~,,,~ (~, I~,~- Prans:: . ._ <br /> <br />I agree to build accordm~ to the submitted plans and 8pecibcation& the laws of the <br />State o~ Oregon and the Ordinances of Marion County PERMIT EXPIRES IF WORK <br />NO T COMMENCED WI THIN 180 DA YS. I further expressly warrant that I comply with <br />the provisions of ORS 701.005 to 701 125 because: <br /> <br />The work will be performed <br />by a regiatered builder <br />Other (pleaee specify) <br /> <br />( ) I am performing work on a property I own <br /> or occupy <br />( ) I am a registered builder OR ( ) the <br /> authorized representative of a <br /> registered builder <br /> <br />OLD MOHO MmMOVED APPROX 1% YR, <br /> <br />REMARKS:: <br /> <br />Mech Fee <br /> <br />Plumb Fee:: <br />State <br />Surcharge: (4%) <br /> ~leet. <br /> <br />Plans Chk Fee:: <br />Septic Tank <br />Permit Fee <br /> <br />2.~0 <br /> 3~84 <br /> <br />60.0(' <br />5°00 <br /> <br />OEO Surcharge:: <br />TOTAL FEE:: 123.34 <br />BLDG <br />R OE, T <br />Driveway <br />Permit Fee <br />Site Plan <br />Review Fee <br />Public Works <br />Receipt No <br /> <br />I have read this application in its entirety and certify that the stated information is true and correct to the best of my knowledge <br /> <br />SIGNATURE OF APPLICANT:: ~ <br /> PLEASE NOTE DrwEway and sidewalrdinspecbon are required by Public Works 588-5036 <br /> <br /> Other permits required by this dept :: Plumbing r~ BectrlcaJ E] Mechanical ~ <br /> <br /> <br />