Laserfiche WebLink
Received By: MARION COUN TY B01LDING INSPECTION <br /> Senator Bldg. No, 22S <br /> 220 High Street NE <br />ZonMg. Validation:' ...... <br /> Salem, Oregon ~'301 <br /> <br /> BUILDING ~MOBILEHOME ~ SEPTIC ~ <br /> <br /> Section; <br /> <br />Width; Depth: <br /> <br />Construction Type: <br /> <br />PERMIT APPLICATION <br /> <br />, UGB; <br /> Occupancy: <br /> <br />Mtn, Regd, Front: <br />Setbacks; ~ ~' <br /> <br />Acres: Irreg. Lot; <br /> <br />,,j.~.peofPermlt: I New: ~ Addition; [] Demo'. [~ Tach, <br />pJ~ ~e.~ I <br /> <br /> - <br /> Contr ct r: * · . Phone; <br /> <br />Phone: <br /> <br /> Home Builder% Registration No,: <br /> <br /> Architect/Engineer'. <br />......... &_ <br /> Height of Building; <br /> <br /> Mobile Home: Width; <br /> <br />Sq. ~t. Main Floor: ~ Sq. Ft. 2nd Floor; <br /> n~g,~~'c': : Water Supply: <br /> <br />Cross Street: <br /> <br />Occupant Load: <br /> <br />Left ~'~' Right ¢/ Rear: <br />Side: Side: ~'/ <br /> <br />a <br /> <br />Proposed Septic Installation: <br /> Previous Site Evaluation Cf: <br /> <br /> Type of System; <br /> Test Holes Ready; <br /> Will call when holes ready; <br /> <br />Existing Septic SYstem: / <br />Existing Tank Size; , <br />Existing Dratnfiald Length: <br />Type of System: <br />Bate Tank Pumped'. <br /> <br />Valuation: <br /> <br />Map: <br /> <br />( ) Other <br />( ) I agree to build according to thg~3wfia.ed DMns and sP.?"-J~tions, the laws o~ <br /> the l~tate of Oregon and t hej~,t(llr~a nc~t~ar ac n ~ . ~ %) <br /> <br />OTHER PERMITS R~[QUIRED t~¥ T t~ DEPT.: PLUMEIING, MECHANICAL, ELECTRICAL <br />MC 15-6 <br />Rev. 3/87 <br /> <br />Fleet S/C Zone: <br /> <br />Reinspection Fee; <br /> <br />Inveat.~ation Fee: <br /> <br />City Fee: <br /> <br />TOTAL FEE: <br /> <br />RECEIPT NO.: <br /> <br />8tdg, Fee: <br /> <br />Mobile Home Fee: <br />Fleet Surcharge: <br />Zoning Surcharge; <br />State Surcharge: <br />Plans Check Fee; <br />Site Evaluation Fee: <br />Septic Permit Fee; <br />DEQ Surcharge; <br />Technical Review Fee; <br /> <br />Address; <br />Sq. Ft. Garage; Other: <br /> <br /> <br />