Laserfiche WebLink
Receive.d By <br />City ' ~' z/ <br />Zoning Valid'~tion ~Z~-? <br /> <br />BUILDING [~ MOBILE HOME [] <br /> <br />MARION COUNTY BUILDING INSPECTION <br />Senator Bldg No. 225 <br />220 High Street NE <br /> Salem. Oregon 97301 <br /> <br /> Phone 588-$147 <br /> Code-A.Phone 4=3s RM. - 8::00 A.M. <br /> <br /> SEPTIC [] <br /> <br />  ' City Setback Requireme_nts <br /> <br /> ~ / Rear <br /> -" j { Right <br /> ~-- lSide <br /> <br />PERMIT APPLICATION <br /> <br />Property Ownej"~/J'./~ ,~(' J'",,¢/~' Ph~?,~ _ ~7,~// Mairjp:g Adcj~ss <br />Job Address Site No 2~~ <br /> Pr~pertyTaxLotNo:: <br /> <br /> Lot <br /> <br />Home Park <br /> <br />Sp ¢ <br /> <br />Cros~s Street <br /> <br />Fleet '~'~h e <br /> <br /> Block~ <br />- -;rot'si cf Spaces <br /> <br />Map:: <br /> <br />Lot Width~¢ f Lot//~), ~,'~Depth:: Acres Irreg ~/,~ ,eL°t:; Co~ <br /> <br />Contractor Business Name and NO:: <br /> <br />Phone:: <br /> <br />,~e of Permit New ~ Addition <br /> <br />Height of Building No Stories <br /> / <br />Mobile Home Mobile Home <br />Width Length <br /> <br />[] Demo:: [] Tach <br />[] Ccc Chg:: Lq Review:: <br /> <br /> Ft Main FI or <br />Sq <br />Cf Bed,~s:; <br /> <br />Sq Ft 2nd Floor <br /> <br />Use of Building . I RI~S' ~ <br />.... M ............ <br /> <br /> Valuation:: <br /> <br />Proposed Septic Installation:: <br />Previous Site Evaluation cf:: <br />Type of System;; <br />Test Holes Ready <br />Will cell when holes ready;: Proposed Bedrooms <br />Existing Septic System:: <br />Existing Tank Size <br />Existing Drainfield Length <br />Type of System <br />Bate Tank Pumped Existing Bedrooms:; <br /> <br />Bldg Fee <br /> <br />Mobile Home Fee:: <br /> <br />Fleet Surcharge <br /> <br />Zoning Surcharge <br /> <br />State Surcharge <br /> <br />Plans Check Fee:: <br /> <br />Site Evaluation Fee <br /> <br />Septic Permit Fee <br /> <br />DEQ Surcharge <br /> <br />Technical Review Fee:: <br /> <br />Reinspection Fee <br /> <br />Investigation Fee <br /> <br />City Fee:: <br /> <br /> <br />