Laserfiche WebLink
Permit No.:, 86-$62 <br /> <br /> by: <br />Plans .... za <br /> <br />Rhone: AddresS: <br /> <br />Lot No,:,.. F. llk,, No,: ~ub, dy,: <br />Area Of I~ldg. 2nd Base- Total <br />Main Fir.: FIr~: ........ meat- Area: <br /> <br />Root Type: Truss/Sti0k: ... Height; <br /> <br />Heating Wood Water . . 1 , ~ <br />System: Stove: .... Rupply ~ r~_L~. <br />Septic Tank New <br />Site Eval.; ,. Instal.: .......... <br />Exist. No. <br />System: ....... Gals,: ,, <br /> <br />VALIDATIONS: <br />Zoning: Mechanical; <br />Date: r)ate;, <br /> <br />Date: ....... * , Date: <br /> <br />I agree to build a~<~urd#3g to the submitted plaAe and speelf/oat~ona, the law~ of Ihe <br />State of Oregon and the Ordtne~l~'ea of Mar/off County, PERMIT EXPIRES IF WORK <br />NOT COMMENCED WITHIN 180 DA Y$. i fu~ther expressly warraot that I comply with <br />tbs prows/one of ORS 701.005 to 701.12~J because: <br /> <br />( ) f am performing work On a property I owl1 ( ) The work will ba performed <br /> or O00upy by e ~gSstered builder <br />( ) i em a reg/sfered Du/Ider OR ( ) t~e [ ~ Other (please specify) <br /> authorized representative of a <br /> <br /> before b~l~n~ or ~c ~mll~on <br />RE~ARK5 ....... <br /> <br />Valuatioh' , ...... <br />Bldg. Permit <br />Fee: (* $%) <br /> <br />Eleot, Fee:: <br /> <br />Mech. Feet .... <br /> <br />Plumb. Fee; <br />State <br />SUreharge~ (4%} <br /> <br />Plans Chk, Fee: <br />SeptJo Tank . <br /> <br />DEQ 6urcharge:)~ / <br /> <br />TOTAL FEE; <br /> <br />R£~I~J~T ~0-: --. <br />Driveway <br />Permit Fee: <br />Site <br />Review Fee: . <br />Publlc Works <br />Receipt NO.: .... <br /> <br />I have read this application in its entirety and te~'tify that the atatedin/~rmatio/~ i~ true and correct to the ~at of my knowl~ge, <br /> <br /> Other ~ermi~ ~ir~ by m~ ~ept.; Plumbing ~ El~rt~al D Mech~nical D <br /> <br /> <br />