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Zonfng Validation f2 ~ <br /> <br /> Left <br />Bate _J~-' 9/ F'.o.e SSS-S'I4;' MARION C0UNT~ Side <br /> INSPECTION <br /> <br />Property Owner.~ <br /> <br />Job Address <br /> <br />Mobile Home Park <br /> <br />Salem, Oregon g75~ Bight <br /> Side:: <br /> <br />Phone M.~iling A~dd ross:: <br /> Site NO Cros Street <br /> <br />Property Ta× Lot NO :: <br /> <br />Lot <br /> <br />Sp # <br /> <br />Fleet S/C Zone <br /> <br />SIock <br /> / <br /> <br />Section Township:: Range <br /> Acres;: <br /> <br />Lot Width Lot Depth:: <br /> <br />T~,~e of Permit ... New ~ Addition:: ~ Demo <br />/'L')~-¢/~ ~ Alter [] Relocation [] Ccc Chg,, <br /> <br />MobileHeight/~-~/of HomeBpiiding]] NO7~O~l~S~OriesH~° me Cf Sq Bedrooms/'"'~ ~/~Ft Main Floor <br /> <br />Tech <br />Review:: [] <br /> <br />Sq Ft 2nd Floor <br /> <br />Occupancy:: <br /> <br />Use of Building:: <br /> <br />Sq Ft, Garage:: <br /> <br />Occupant Load <br /> <br />Other <br /> <br />Proposed Septic Installation:: <br />Prewous Site Evaluation # <br /> <br />__T~v~? of System <br /> <br /> Test Holes Ready <br /> Will call when holes ready <br /> Exisling Septic System <br /> Existing Tank Sise <br />_.E_xisting Drainfield Long?_ <br /> ~'y_pe of Sy_s_fem <br /> Date 'lank Pumped <br /> <br />Existin~.B. edrooms <br /> <br />OTHER PERMITS REQUIRED BY THIS DEPT,:: PLUMBING, MECHANICAL, ELECTRICAL <br /> <br />Bid9 Fee <br /> <br />Zoning Surcharge <br />State Surcharge <br />Plates Check Fee:: <br />Site Evaluation Fee:: <br />Septic Permit Fee <br />DEQ Sumharge:: <br />Technical Review Fee <br />Reinspection Fee <br /> <br />City Fee <br /> <br />TOTAL FEE <br /> <br />RECEIPT NO <br /> <br /> RES ~. <br /> <br /> COM ~ <br /> <br />Supply <br /> <br /> <br />