Laserfiche WebLink
Bldg,, Permit:. ¢ .~' %; ") <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> 3180 Center St,,, N,,¢:,, <br />Salem, Oregon 97301 <br />n.H. WITHROW, BLDG. ADMINISTRATOR <br />588-5147 -- 588-5148 <br /> <br />Add rass:; 2~ ~ c) .... j;.)..//~J wy /~-~'/L- , <br /> <br />Ownar: <br /> <br />Bldr. & No,,:: <br /> <br />Location Permit: <br /> <br />Permit ~umber <br /> <br />Phone;; Address:: <br /> <br />Plans by! Q/t4~2/2'f t.~/"/ /z~'f~4, <br /> <br />Zone Chg <br /> <br />Phone: <br /> <br />Use of 81dg <br /> <br /> Address: <br /> <br /> Sewage ~t ~ Feas. <br />Water Supply: ~/~ Disposal:: ¢~ ~,~., Study? <br /> <br />I.ol NO:: , ~o BIk,, No <br /> <br />Corner?_Z¢O <br /> <br />Sub d v. ,~,/~/~//¥ <br /> <br />Size of Lot: <br /> <br />Area of Bldg:: <br /> <br />No,, or Stories:: <br /> <br />Basement:: ..... <br /> <br />Septic Permit Fee; <br /> <br />Type of Roof: ........ ~')~fz~i}/~ <br /> <br />Total Fees; <br /> <br />Rept No. <br /> <br />I agree ~o build according to the submitted plans and specifications, the laWS of the State of Oregon and the Ordinances of Marion <br /> <br />County, Permit expires if work not commenced W~thM 120 days. <br />SIGNATURE OF APPLICANT:~-.~ <br /> <br />VALIDATIONS;; <br />ZON I,~ SEPTIC TANK <br />Date:__ 3 ~-7/7/--~/~'~ D*tc <br /> <br />REMARKS <br /> <br />PLEASE NOTE; Driveway and sidewall< inspections are required by Public Works;; 588-5036 <br /> Other permits required by this dept; Plumbing [] <br /> <br /> <br />