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BUILDING <br /> <br />~{~ames M. & Joni Milln <br /> <br />~713 f~Warbler Ln. N.E. <br />" ~. a, Oregon 97002 <br /> <br />VIARION COUNTY BUILDING INSPECTION <br /> <br /> MOBILE HOME~ SEPTIC ~ PERMIT APPLICATION <br /> ' J Ph~e: 'J ~lJng Addre5~ .... <br /> <br /> ~t 2 & 3, Elk. 2Q .... <br /> <br />!.~31-3051 <br /> Phone:: <br /> <br />Address <br /> <br />Alter; [] <br /> <br />A(/dihon J'~ I:~o: [] TaCh <br />Relocation: [] O~c,, Cilg,; ~1 RevieW; - ' [] <br /> <br />Occupancy;; <br /> <br />Mobite Home <br /> 56 <br /> <br />Sq FI, Garage; <br /> <br />OCcupant Load <br /> <br /> 13oles ready~ <br />Tank Size: <br /> <br /> I am pe~k~"ming v,~k ~ a p~perty I own or oCCupy <br />i,I am a ~Stered bui~er OR ( ) the aulhonzed represenlat~ve <br /> <br />{ED BY THiS DEPT,: PLUMBING, MECHANICAL, ELECTRICAL <br /> <br />OIher; <br /> <br />Water Supply: <br /> <br />Bldg Fee <br /> <br />Mohile Homo Fee" <br /> <br />Fleet Surcharge <br /> <br />Zonirlg Surcharge <br /> <br />,'~ate Surchargo <br /> <br />Sephc Perm~ Fee <br />DEQ Surct~arge <br /> <br />TOTAL FEE <br /> <br />RECEIPT NO <br /> <br /> <br />