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Received By __ <br /> <br />City <br />Zoning Validation __ <br /> <br />BUILDING [] <br /> <br />MARION COUNTY BUILDING INSPECTION <br />~enator Bldg No. 225 <br />220 High Street NE <br />eelem, Oregon 97301 <br /> <br /> Phone 588-8147 <br /> Code-A~Phone 4;30 RM,, - S:00 A.M <br /> MOBILE HOME~ SEPTIC [] <br /> <br /> FOit~/, Setback Requirements <br />ront:: Rear <br />t~ Right <br />I Side:: Side <br /> <br />PERMIT APPLICATION <br /> <br /> Property Owner:: <br /> <br />_Z;~D,~ ~_~tricia A. Fojr~LO3a ...... <br />Job Address:: <br /> <br /> 11672 Warbler Lane N.E. <br /> Aurora, Oregon 97002 <br /> <br /> Subdivision <br /> <br /> C~D_tAL~y Mea_c]OWS Fourth Addition <br /> Mobile Home Park <br /> <br />Section:: <br /> <br /> Phone:: <br />665-5539 <br /> <br />Site NO,;: <br /> <br /> Mailing Address <br /> <br />20145 NE Sand' <br /> <br />Property Tax Lot NO <br /> <br />Lot <br /> ? <br /> <br />Sp # <br /> <br />Township:: <br /> <br /> 97060 <br /> #51 Tro_u..~ _c!A_._l.¢, Or <br />Cross Street:: <br /> <br />Fleet S/C Zone <br /> <br />Range <br /> <br />Map <br /> <br />Lot Width LOt Depth Acres Irreg Lot Corner:: <br /> <br />Block <br /> 19 <br />Total # Spaces <br /> <br />fWilbur Wilson <br /> <br />". Phone <br /> 631-3051 <br /> Phone <br /> <br />',~dF&~: ..... 97045 <br /> 10825 SE Harding_l Oregon_C_it~v3____Or <br />Address <br /> <br />Type of Permit <br /> <br />New [] Addition [] Demo [] <br />Alter [] Relocation ~ Ccc Chg [] <br /> <br />Tach <br /> <br /> Sq Ft Main Floor <br /> <br />Mobile Home # Bedrooms;: <br />Length:: 40 2 <br /> <br /> Review [] <br />Height of Building:: No Stories:: Sq Ft 2nd Floor Sq Ft Garage:: <br /> Occupancy Occupant Load:: Water Supply <br /> <br />Mobile Home <br />Width <br /> 28 <br /> <br />........... r.-EEs m <br /> £ 0o_%% <br /> Other <br /> <br />Proposed Septic Installation:: <br /> Previous Site Evaluation ¢-:: <br /> Type of System <br /> <br />Test Holes Ready <br />Will call when holes ready <br /> <br />Existing Septic System <br />Existing Tank Size <br /> <br />~E_x!~!ng Drainfield L;'ngth <br /> Type of System <br /> <br />Date Tank Pumped <br /> <br />,,P,raposed Bedrooms <br /> <br />Existin¢ Bedrooms <br /> <br />OTHER PERMIT~ REQUIRED BY THIS DEPT.: PLUMBING, MECHANICAL, ELECTRICAL <br /> <br />Valuation $ ..... <br /> <br />Bldg Fee $. <br />Mobile Home Fee <br />Fleet Sarcharge ......... <br />Zoning Surcharge <br />State Surcharge:: ......... <br />Plans Check Fee <br /> <br />Site Evaluation Fee <br /> <br />Septic Permit Fee <br /> <br />OEO Surcharge <br /> <br />Technical Review Fee <br /> <br />Reinspection Fee <br /> <br />Investigation Fee <br /> <br />City Fee <br /> <br />TOTAL FEE <br /> <br />RECEIPT NO:: ........... <br /> <br /> <br />