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Appl Reed <br /> <br /> MARION ~OUNTY <br /> DEPT. OF BI.ClLDI~ INSPECTION <br /> Senator Budding #225 <br /> 220 High StoNE 2nd Floor <br /> Salem, Oregon 97301 <br /> <br /> 588-5147 -- 588-5148 <br />5::00 P M CODE~A-Phone 8:00 A M <br /> <br />Perm,t No 451 <br />By __ Dottle <br /> <br />Date 7/1/85 <br /> <br />Type of Permit <br />Address <br /> <br />Mobile home~ site evaluation, saptic <br /> <br /> 2~0 3urge Street~ SE D~troit (City) <br /> <br />Owner refer Howard <br /> <br />Phone qg3-2317 <br /> <br /> .Tax Lot No::__ <br /> <br />Sec 2,,//~- Twnshp 10 .Rge :: ,~/~ <br />Addreas::_~_6~.5 Arc~c]~ NT~ ..sal_~ Or. g7~03 <br /> <br />Bldr, & No <br /> <br />Phone:; Address:: <br /> <br />Plans by <br /> <br />Map Page <br /> <br />Zone Change <br /> <br />__Phone: __Address <br /> t <br /> <br /> L <br /> Hammmnd Addn. <br /> Sub dv City of Detroit Lot Size:: __lOOx170 Corner? no <br /> Sase- Total <br /> _ment Area:: Double Valuation .... <br /> Bldg Permit _50°00 <br /> Fee (+ 5%) __ <br /> <br />Use of a~dr~ <br /> Mobile home <br /> <br />Lot NO '-?-~ ~' ~4 _BIk NO <br />Area of Bldg 2nd <br />Main Fir :: Fir:: <br /> <br />/¸6 <br /> <br />Roof Type:: <br />Heating <br />System <br />Septic Tank <br />Site Eval <br />Exist <br />System <br /> <br /> Wood <br />__.Stove:: __ <br /> <br />.. Truss/Stick' _He*ght::. <br /> Water ¢¢ity water <br /> __.Supply Elect Fee <br /> <br /> New <br />,__instal <br /> No <br /> .Gals:: <br /> <br />VALIDATIONS:: <br />Zoning <br /> <br />Date <br /> <br />Mechanical, <br />·Date <br /> <br />Plans:: <br />Cate:: _7_-_/_ -LC <br /> <br />I agree to build according to the submitted plans and specifications, the laws o! the <br />S~ate of O*egon and the Ord¢nances of Marion County, PERMIT EXPIRES IF WORK <br />NOT COMMENCED WITHIN 180 DA YS I further expressly warrant that I comply w~th <br />,,the prowsions of ORS 701005 to 701 125 because: <br /> <br />I am performing work on a property i own <br />or occupy <br />/ am a registered builder OR ( ) the <br />authorized representative of a <br />registered builder <br /> <br />The work w/ii be performed <br />by a regiatered builder <br />Other (please specify) <br /> <br />REMARKS:: <br /> <br />test holes aze dug <br /> <br />Mech Fee: <br /> <br />Plumb Fee <br />State <br />Surcharge . (4%) <br /> <br />2.00 <br /> <br />Plans Chk Fee:: 140.00 ,c'i~:~ eval <br />Septic Tank 75.00 septic <br />Permit Fee:: <br /> <br />DEQ Surcharge ~' eval <br /> © o <br />TOTAL FEE_ ~-()f;¢~ <br />BLDG $1~.00 duc <br />RECEIPT NO __ <br />Driveway <br />Permi~ Fee <br />Site Plan <br /> <br />Public Works <br />Receipt No <br /> <br />I have ~ead this application in its entiret~a_nd cerh~y that the stated information ~s true and correct to the best of my knowledge <br />SIGNATURE O, APPLICANT ,/~-s:'' ¢~ ~A.-..'..J <br /> PLEASE NOTE Driveway and sidewalk inspection are required by Public Works 588-5036 <br /> <br /> Other permits required by this dept Plumbing [] Electrical [] Mechanical [] <br /> <br /> <br />