Permit - 1269339 - Laserfiche WebLink

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By: .... _~ Date; MARION COUNTY DEPT. OF BUILDING INSPECTION Senator Building #225 220 High St,, N,E, 2nd Floor Salem, Oregon 97301 588-5147 -- 588-5148 __/..~.. _.~/~ ~,,,~ 5:00 P.M CODE-A-Phone .......... 8:00 A.M. Permit No,: 551_ By:, Dottle Date: 7/3/85 Type of Permit- ~,~.~.¢~/- s~.orag'e s~ec] Address: / ~2 ~ ¢~ ,~-Z'//~ Sec,: Owner: .~ ..¢~, . Phone: Address: BIdr, & No,: ,~,'~ Phone:. Address; Plans by; Phone: Address: Tax Lot NO ' Twnshp ' P[ge.: Type of Consf, Lot No,' __BIk, No ' .Sub. dv.:, Lot Size: Area of Bldg. 2nd Base- Total Main Fir.: Fir'__ .ment: Area: ~.~,=,~-,¢' ,~2~../-¢Valuation; ~ Bldg, Permit Roof Type:. Truss/Stick: _Height: Fee; (4- 5%) Heating Wood Water System: Stove: Supply: Elect. Fee: Septic Tank New Site Eval,: Instal.: Mech. Fee: Exist. No. System: __Gals,: Plumb. Fee: State VALIDATIONS: Surcharge:_.(~%) Zoning: Mechan~cah Date:,, Date: Plans Chk, Fee: _ Septic Tank: Plans: /¢~ Septic Tank Date: _ Date: ~ ~- r.-/ Permit Fee: I agree to build according to the submitted plans and specifications, the laws of the State of Oregon and the Ordinances of Marion County. PERMIT EXPIRES IF WORK NOT COMMENCED WITHIN 180 DA YS. I further expressly warrant that I comply with the provisions of ORS 701.005 to 701,125 because: ( ) I am performing work on a property I own or occupy ( ) I em a registered builder OR ( ) the authorized representative of a registered builder ( ) The work will be performed by a registered builder ( ) Other (please specify) Corner? DEQ Surcharge: TOTAL FEE; BLDG. RECEIPT NO,: Driveway Permit Fee; Site Plan Review Fee: Public Works Receipt NO,: REMARKS: /have read this application io its entirety and certify that~i.s~te, d information is true and correct to the best of my knowledge, SIGNATURE OFp/~AP%IECAN~;:E7 ~alk in~pecdon~,%reO b;" Public Works: '~88-5036 Other permits required by this dept,: Plumbing [] Electrical E] Mechanical []