Laserfiche WebLink
City <br />Zoning Validation:: <br /> <br /> Perry O~r:; <br /> <br /> Address <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator Bleg,, No,, 225 <br /> 220 High Street NE <br /> Salem, Oregon 97301 <br /> <br /> Phone 588-5147 <br /> ~_ Codi~-A-Phone 4::30 RM,, - 8::0{) AM <br /> <br /> MOBILE HOME [] SEPTIC [] PERMII APPLICATION <br /> <br />City Setback Requlreme~t~ <br /> <br />Front C>,,~&~] ~' Rear <br /> Right <br /> <br />Phone:: Ma~ling Address:: <br />Cross Street <br /> <br />Mobile Home Park <br /> <br />Section:: " I Township <br /> <br />Lot Width Lot Depth <br />'?'4' ( ................. <br /> <br />Acres <br /> <br />Site NO :: <br /> <br />P~ogerty Tax Lot No <br /> o <br /> // <br /> <br />Sp # <br /> <br />Zone Map:: <br />Irreg Lot Corner: <br /> <br />Fleet S/C Zone:: <br />Block ,~ <br /> <br />Totar # Spaces <br /> <br />C~,~ctor Business Name and NO <br /> <br />Architect/Engineer <br /> - <br /> <br />Phone;; <br /> <br />Phone:: ~ <br /> <br />Address <br /> <br />Address <br /> <br />Type of Permit:: <br /> <br /> Height of Building <br /> <br />· ~obile Home <br /> W~dth <br /> <br />New:: Addition:: [] Demo;: <br />Alter:: [] Relocation [~ Ccc Chg <br /> <br />No Stories <br /> / <br /> <br />Sq Et Main Floor:: <br /> <br />Sq Ft 2nd Floor <br /> <br />Mobile Home # Bedrooms Occupancy <br />Length:: ~ <br /> <br />Use of Building:: RE~--- I¢-- <br /> <br />Sq Ft Garage Other <br />~'~) Water.~Spppty <br />Occupant Load <br /> <br />Proposed Septic Installation <br /> Previoue Bite Evaluation # <br /> <br />Type of System:: <br /> <br />Test Holes Ready:: <br /> <br />Will call when holes <br /> <br />Existing Septic System:: <br />_E. xi~.s,!l,~ Tank Size <br /> <br />Propoeed Bedrooms:: <br /> <br />Existing Drainfie! <br />Type of System:: <br /> <br />Date Tank Pumped Existing Bedrooms <br /> <br /> bulldor <br />SIGNATURE OF APPLICA~~~ <br />OTHER PERMITS REQUIRED BY THIS DEPT,: PLUMBING, MECHANICAL, ELECTRICAL <br /> <br />Valuation <br /> <br />Sldg Fee <br /> <br />Mobile Home Fee <br />Fleet Surcharge <br />Zoning Surcharge <br />State Surcharge:: <br />Plans Check Fee:: <br />Site Evaluation Fee <br />Septic Permit Fee <br />DEQ Surcharge <br />Technical Review Fee <br />Reinspection Fee <br />Investigation Fee <br />City Fee <br /> <br />TOTAL FEE <br />RECEIPT NO <br /> <br /> <br />