Laserfiche WebLink
MARION COUNTY <br /> ~ ',3 ' `62-` DEFT, OF BUILDING INSPECTION <br /> '~e~o~d~- 220 High St., N.E. 2nd Floor <br />Appl.~.~-Revd: ~ ~em. Oregon 97~1 <br />~v; ~m R.H. WITHROW, BLDG. ADMINISTRATOR <br /> 5~5147 - ~51~ <br /> <br />Type of Permit~ .. ,~r]~i ~_~ ~Rer~_c~el~oe [~0 e~.sl:iT~ ~'~m~ ~oo~ .... Tax Lot No; ~ <br /> <br />~dr & NO.: ~e!f Phone: Address: ..... <br /> ' Fi~ ~one "' O u~ncy <br /> <br />,.. ~ ~ bed.Oo~ ~we~]~ ............. . ..... <br /> <br /> LotSize '~.1~ Corner? no <br />L~ No; ...~lk. NO: . Sub dy. _. <br /> <br />Water Supply: ~4ell ........ <br />· Sewage ~ Fees. <br />Disposer: :c,,. ,=.~ + q ~... Study'- ...... <br /> No, <br />Area of Sldg: 38 ~5~_ , StOries: <br /> 1~40 $~ £%~ Roof <br />Basement; .%3 Type; <br /> <br />SyStem: ,, l~Orced Air ~cc ~ Wood <br /> <br />J <br /> <br />Valuation: <br /> <br />Perm[[ Fee' <br /> <br />State Surcharge: ........ '~%2 <br /> <br />Plans Ch~. <br /> <br />Septic Permit ~ee: <br /> <br />~TU: .... Total Fees: Ar~ - !-~ , <br /> <br />I agree ~o build acc?~dl~L~ to ~e submitted pl~o~ ~/f~tloo~, ~he le~ ~ t~ ~re of 0~ a~d ~ ~e ~f Mar~n <br />~. ~rmi~ ,xp,, if wo,k ~n~ w(~ ,20 ~a~ ~.:~ ~-'~ ~ <br />SIGNATURE OF APPL ~NT: ~ ~ ~ ~ ?~ C>~ ' , <br /> <br />VALIDATIONS; <br /> <br />PLEASE NQTEt Driveway ar~ sidewal~ inSpeCtions are requlred by ~ublJO Works; 588-603~ <br />Other Permits requlrecl by this dept: Plumbing [~r~ectrica! C~'~'-~' <br /> <br /> <br />