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Zoning Validation . _. <br />Pete % /¢' ¢9' <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator Bldg. NO.. 225 <br /> 220 High Street NE <br /> Salem= Oregon 97301 <br /> <br /> Phone S88-$147 <br /> Code-A-Phone 4:30 RM - 8:00 A..M.. <br /> <br />BUILDING [~ MOBILE HOME [] <br /> <br />SEPTIC [] <br /> <br /> Oity Set_b_~?( ~equirements <br /> <br />PERMIT <br /> <br />Job Address <br /> <br />Mobile Home Par~ <br /> <br />Section Township <br /> <br />Lot Width Lot Depth <br /> <br />Acted <br /> <br />Phone:: M~ling A~ldress ¢.~ -- <br /> <br /> Property Tax Lot No :: Fleet S¢C Zone <br /> LOt:: ~__ Block ~ <br /> Total ¢ Spaces <br /> <br /> Sp #:: <br /> <br />Zone~,~ Map <br />Irreg Lot:: Corner: <br /> <br /> Type of Permit New ~ Addition <br /> ?d/J/S./~#£ ~-~ ¢/~ Alter [] Relocation <br /> <br />Height of Building N~ ~t~ries <br /> /¢' i <br />~il~ Home Mobile Home <br /> <br />Width Length :: <br /> <br />~ Demo [] Tach <br />[] Otc Chg [] Review <br /> <br />Sq Ft Main Floor <br /> //~ <br /># Bedrooms <br /> <br />Sq Ft 2nd Floor <br /> <br />Occupancy <br /> <br />Proposed Septic Installation <br />Previous Site Evaluation <br /> <br />Ty~_e of System <br /> <br />Test Holes Ready:: <br />Will call when holes ready Proposed ~edrooms:: <br />Existing Septic System <br />Existing Tank Size <br />Existing Drainfleld Length:: <br /> <br />Type of Sy.s_tem <br />Date Tank Pumped:: <br /> <br />Existing Bedrooms <br /> <br />( ) I ague to build according to the su~l~n~eed pla~/d/pacifications, the laws of <br /> <br />OTHER PERMITS REQUIRED BY THIS DEPT.:: PLUMBING, MECHANICAL, ELECTRICAL <br /> <br />Use of Building <br />Sq Ft Garage <br /> <br />Occupant Load <br /> <br />RES <br />COM <br /> <br />Valuation <br />BIdg Fee $ _~.~ O0 <br />Mobile Home Fee:: <br />Fleet Surcharge <br />Zoning Surcharge <br />State Surcharge:: __ <br />Plans Check Fee /¢~- ~ 0 <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 />TOTAL FEE 'Z':~!~'~' ~¢_. <br />RECEIPT NO:: ~__ ¢¢~- ~i~ <br /> <br /> <br />