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BUILDING [] <br />Prop~rt ~ Owner <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> 2~0 Hk~h Otre~ NE <br /> Salem, O~gon ~?",~1 <br /> <br /> MOBILE HOME 0 SEPTi~ <br /> <br />Job Address:' <br /> <br />'lV~bii~ Home Park. <br /> <br />Site No,,:: <br /> <br />Pr0~rty Tax LeO NO:: <br />Lot <br /> <br />Map <br /> <br />Contractor Business Name and No Phone. <br /> <br />[] Addition:: 0 Ocm~o,, t'l Tach <br />~J Relocation: [] Ccc. 42h~l,, ~ Review. <br /> <br />Ne Stories <br /> <br />~ FI Main Floor- <br /> <br />Sq Ft 2nd Floor <br /> <br />Sq Ft Garage: <br /> <br />LengthM°bile Home~ ~:~ # Bedrooms~;)~ O¢.,¢~,~ancy Occupant Lead,, <br /> Valuabon <br /> <br />IOther,, <br /> <br /> Wa;~ef, Supply <br /> <br /> $ <br /> <br />Tes~ Hole~ Ready <br />Will call when holes ready <br /> <br />ExisI~ Septic System <br /> ~.x!,~!!ng Tank Size <br /> Ex~$ttn~ D r a I n f ield..I...e, r,~,Jt,h <br /> Type of System <br /> <br />Date Tank Pumped <br /> <br />ExistTr~g Bedrooms <br /> <br />OTH6R PERMITS REQUIRED BY THIO DEPT.,' PLUMBING, MECHANICAl.., ELECTRICAL <br /> <br /> BIdg Fee <br /> <br />Mobile Home Fee <br />Fleet Surcharge <br />Zon,n9 Surcharge- <br />State Surcharge. <br /> <br />Septic Permit Fee. ~'~..,, <br />TOTAL F~E' <br /> <br /> <br />