Laserfiche WebLink
MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> <br />AppI. Reed: __ -- 220 High St,, N.E, 2nd Floor Permit NO. <br /> Salem, Oregon 07"401 <br />By~I /d .-. 588-5147 -- 588-5148 <br />o,te 5,oeP.M._ ........... ooD -A.P,one,88-53,3 ........... <br /> <br /> Address;~ ~~2206_572 ~8~2 Sec. ~Twnshp. --~ .Rge <br /> <br />Owner: ~"~-~ --~---~--~-'-~ Phone: - Address: 2302 A~SST TACOMA WA 98402 <br /> <br />Plans by: Phone: <br />Mae Page J Zone " Zor~e Chg, Pert. Co¢~d. <br />U~ of $1dg,: ~ C~ ~)~ N0 <br /> <br />Lot No.: .... BIk. No.: Sub dv .... <br />Area of Bldg. 2nd Base- <br />Main Fir.: ........ Fir,: .____ ment: <br /> <br />Roof Type: Truss/Stick: <br />Heating Wood <br />System: ............. Stove: .... <br />Septic Tank New <br />Site Evah ............. Instal ,__ <br />Exist, No. <br />System: ............. Gals,:__ <br /> <br />VALIDATIONS: <br /> <br />Date: ..................... <br />Septic Tank: <br />Dote: <br /> <br /> Address: , <br /> <br /> Address: <br /> <br />Req. Front $id s fleet <br /> <br /> Lot Size <br />Total 1800 sG Et <br /> <br /> Bldg. Permit <br /> fee: ( + 5%) <br /> <br />Water <br />Supply: WELL <br /> <br />Mechanical: <br />Date: <br /> <br />Elect, Fee:, <br />Mech, Fee: <br /> <br />Plumb. Fee: <br />State <br />Surcharge- <br /> <br />Plans Chk. Fee: <br />Septic Tank <br />Permit Fee=. <br /> <br />......... Corner?.__ <br /> <br />....... 13~000-00 <br /> 89.65 ' <br /> ....... <br /> <br />....... 58. <br /> <br />I agree to build according to the submitted plans and specifications, the laws of the State DEQ Surcharge: ................. <br /> <br />of Oregon and the Ordln~nces of Marion County. Permit expires if work not commenced <br />within 180 day~, I further expressly warrant that I comply with the provisions of ORS TOTAL FEE:__ <br />701.005 to 701.125 because: <br />( ) I am performing work on a property I own or occupy RECEIPT NO.: <br /> <br />( ) I om a registered builder OR ( ) the authorized ( ) The work will be performed by a registered builder <br /> representotlve of a registered builder ( ) Other (please specify) <br /> <br />REMARKS: <br /> <br />PLI=ASE ~IOTE'. Drlvev~'a~c~walk insl~ctions are required by Public Works: 588-5036 <br />Other permits required by [his dept: Plumbing [] Electrical r-~ <br /> <br /> <br />