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Received By: ~_ <br /> <br /> BUILDING ~MOBILE HOME [] <br /> <br />MARION COUNTY BUILDING INSPECTION <br />Senator Bldg. NO, 225 <br />220 Hlgh~ Btreet NE <br /> Salem~ Oregon 97301 <br /> <br /> Phone 588-5147 <br /> COde-A-Phone 4;30 RM. - 8;00 A.M. <br /> <br /> SEPTIC [] <br /> <br />Ci!y,.,,S.~etback Requirements: <br /> <br />Side: Sde; <br /> <br />PERMIT APPLICATION <br /> <br />er; Phone; Address; <br /> <br />Job Address: <br /> <br />Subdivision: <br /> <br />Mobile Rome Park: <br /> <br />Site <br /> <br />Sp. #: <br /> <br />Tax Lot No.: <br /> <br />Fleet S/C Zone: <br /> <br />Block: <br /> <br />Lot Width~) ( L~E~--E~;~'I~; ,Acres: <br /> <br />Map: <br /> <br />Total · Spaces; <br /> <br />Contractor Business Name and No,;~ ' Phone: <br /> <br />Address; <br /> <br />Address; <br /> <br />Type of Permit: 1 New; <br /> <br /> Alter: <br /> <br /> Addition; [] Demo: [] Tech, <br /> Relocation: ~ Ccc. Chg.: [] Review: [] <br /> <br />Mobile Home M} ~b~le Home # B~drooms; Occupancy; <br />Width: ~ ngth: ~ - --. <br /> <br />Sq, Ft, Garager Other; <br />"valuation; ~.~ <br /> <br />Proposed Septic Installation: <br /> Previous Site Evaluation #: <br /> <br /> Bldg. Fee; $_,,_,,,,__~ <br /> Mobile Home Fee; <br /> <br />ing Surcharge; ..... <br /> <br /> e Surcharge; *,,/.~-,',~_ <br /> <br /> P ans Obeok Fee: -f <br /> Site Evaluation Fee; <br /> ~Septlc Permit Fee: <br /> '~EQ Surcharge; ~- <br /> ~chnieal Review Fee: <br /> )Inspection Fee: <br /> <br />CCI'HER PERMITS REQUIRED BY THIS DEPT.: PLUMBING'MEcHANICAl, ELECTRICAL TOTAL FEE: <br />MC 15-6 RECEIPT NO,; <br /> <br /> <br />