Laserfiche WebLink
Appl, Revd: <br /> <br />By: __ <br /> <br />Date: <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building # 225 <br /> 220 High St., N.E. 2nd Floor <br /> 5elem, Oregon 97301 <br />R,H. WITHROW, BLDG. ADMINISTRATOR <br /> ~ 588-5147 -- 588-5148 <br /> <br />Permit No, <br /> <br />By; <br /> <br />Owner: i(~) ~ .... <br />,,dr. <br />Plans by; <br /> <br />Map Pace Zone Zone Chg, Pa~t, <br /> <br />Rge. ~ ~ <br /> <br /> " ,,27') <br /> <br /> Tax Lot NO: <br /> ./~(¢f-4,~ ~'~' '//~ Sec. _-~. ~'~ Twnshp., ,~ <br /> <br />Phone: Address; <br /> Oond. Use [ Variance Cite Zone [ Occupency <br /> <br />Lot NO: BIk. No; Sub dy. <br /> <br />Water Supply; <br /> <br />Sewage <br />Disposal; <br /> <br />Area of Bldg; <br /> <br />Basement: <br /> <br />Heating <br />System; <br /> <br /> Site <br /> Evah <br /> No. <br />__ Stories; <br /> Roof <br /> Type: <br /> <br />BTU: <br /> <br />Lot Size .,, Corner? <br /> <br />Valuation: <br /> <br />Permit Fee: <br /> <br />State Surcharge; <br /> <br />Plans Chk. Fee: <br /> <br />Septic Permit Fee; <br /> <br />Total Fees;_ <br /> <br />Rcpt. No: <br /> <br />I agree to build accordin~ to the submitted plaY'nd speclflcatlo.~n~, the.d~ws of the State of Oregon and the Ordinances of &Car/on <br /> <br />SIGNATURE OF APPLICANT: ..... ,/::~¢&'~- <br />VALIDATIONS: <br />ZONING SEPTIC TANK PLANS~~~" ' <br /> <br />Date; gate: Date'. ~-- ~[ ~/ RE~ARKS <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works: 588-5036 <br />Other permits required by this dept: Plumbing [] Electrical L~-__] <br /> <br /> <br />