Laserfiche WebLink
MARION COUNTY BUI,L,~I~NG_, INSP'ECTION' · ~Reguirements; <br /> 220 High St~a~ , [ Frdnt: I Rear: <br /> Seem, Omgoh~9~01 : ~ ~:'. ' ~t3': ~ ~R~ght' <br /> Phone 588-5147 ~¢ I Side: Side: <br /> <br />BUILDING [~MOBILE HOME [] <br /> <br />Proped;y Owner_:._~ ' <br /> ..... <br />Job Address: <br /> <br />Subdivision: , <br /> <br />Mobile Home Park: <br /> <br /> Lot Width: '-/Z' ..... I LOt Depth: ~6¢~'s: <br />..... 4z t <br /> <br />fContractor Business Name and NO,: <br /> <br />Type of Permit; New: [] <br />¢.~B(J[/fT~. Alter'. [] <br /> <br /> SE PTI~::~]~ ', ~'FE R MI'I'-A PPLICATION <br />Phone; 'l Mailing Adrr~ess; <br /> Site NO.: <br /> <br />Height of Building'. <br /> <br />Mobile Home <br />Width: <br /> <br />Property Tax Lot NO.: <br /> <br />'-°t",.¢ <' ¢ <br />Sp, ¢; <br /> <br />Zo : Map: <br />Irm . Lot; Corner: <br /> <br />Phone: <br /> <br /> Cross Street: <br /> <br />"'Fleet S/C Zone; <br /> <br />Block; <br /> <br />Total ¢'/ Spaces: <br /> <br />Address; <br /> <br />Addition; [] Demo: ~'/ Tach, <br />Relocation: [~ Ccc. ChgJ ~ Review; [] <br /> <br />Mobile Home Occupancy: <br />Length; <br /> <br />No. Stories: Sq, Ft. Main Floor~: Sq, Ft. 2nd Floor: <br /> #Be "ems; .... <br /> <br />Use of Building; <br /> <br />Sq. Ft. Garage: Other: <br />Occupant Load: ' <br /> <br /> Type of S,y, st..e,,m.i .... <br /> Test Holes <br />Will call when holes <br />Exisllng Septic Systat <br />Existing Tank Size; <br /> <br /> Type of System: <br /> Dat~ Tank Pumped; <br /> <br /> ) I am perfOrming w¢ <br /> <br /> I am a registered bi SIGNED <br /> h e~, <br /> the state of Oregon 8nd~/~the ordinances of~ ' xMari°n County.~~/ <br /> <br />OTHER PERMITS REQUIRED BY THIS DEPT,: P~MBING, MECHANICAL, ~T~ICAL <br /> <br />ReinspeC(ion Pea; <br /> <br />Investigation Fee: <br /> <br />City Fee: <br /> <br />TOTAL FEE: <br /> <br />RECEIPT NO.: <br /> <br />$ <br /> <br />RES 0 <br />COM ~--'~--" <br /> <br /> <br />