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Received . MARION C~UNTY BUILDING INSPECTION <br />City I' !~l 4¢ ~.! ! J ;' !,.i Senator Bldg,, NO,, <br />Zonin9 Validation '* 220 High Street NE <br /> ~~/~"J0" 0~ U N~'Y Phone 588.5147 <br />Date , ~ / ~8;LDING <br /> BUILDING ~ MOBILE HOME ~ SEPTIC <br /> <br /> City _S~tback R~equire__me~nts <br /> Front ,.~- / Rear ~-/ <br /> Left- ~ <br /> <br />PERMIT APPLICATION <br /> <br />Property Owner <br /> Bob Layman <br /> <br />Job Address <br /> <br />Su bdi~is~o~' <br /> <br />Mobile Home Park <br /> <br />Detroit, OR 97342 <br />Hammond Addition <br /> <br />Section <br /> <br />Lot Width <br /> 150' <br /> <br /> Range <br />Township 1 OS Acres 5 E <br />Lot Depth 50~ <br /> <br />Contractor Business Name and NO <br />0hie Outdoor Advertising <br />Archdect/Bngi'n~er <br /> 0bie Outdoor Advertising <br /> <br />~54-3764 <br /> <br />]pMailingAddress. <br /> .O.Box 563, <br /> <br />Site <br /> <br />Propert Tax Lot No <br /> 902~0-000 <br /> <br />Lot <br /> -- <br />sp # <br /> <br />Zone <br /> CG lB 10 5E <br />Irreg Lot I Corner:: <br /> <br />]_.lPh~n~ (~ - 8 4 O (~ <br /> <br />Detroit ,OR 97342 <br />Cross street <br /> <br />Fleet SiC Zone <br /> 8 <br />Block <br /> <br />Total # Spaces <br /> <br />- Address:: 4~ <br /> Addr~ ..... <br />/p.0. Box 1356, Eugene, OR 974~Q <br /> <br /> Type of Permit New <br /> <br /> Sian~ \ Alter <br /> Height of~,t~:iI64~4 ~ <br /> ~ 9~ <br />%~ <br /> Width:: -- <br /> <br />{~ Addition [] Demo:: [] Tach <br />[] Relocation [[I Ccc Chg [] Review [] <br /> <br /> No Stories I Sq, Ft M~dm-r. Noo~ Sq Ft 2nd FlOOr <br /> <br /> Mobile Home # Be Occupancy <br /> Length .... _ _ . - <br /> <br /> Use of Building:: TRES L, <br />)utdoor Advertisin_~COM ~ <br /> <br />Sq Ft Garage:: <br /> <br />Occupant Load <br /> <br />Valuation <br /> <br />Other <br /> <br />Water Supply <br /> <br /> $_ ~5o-oo <br /> <br />Proposed Septic Installation <br />Previous Site Evaluation # <br /> <br />_ _Type of System:: <br /> Test Roles Ready <br /> <br />Will call when holes ready <br /> <br />Existing Septic System <br /> Existin(~ ~ank Size <br /> C~isting Drainfield Length <br /> <br />Type of System <br /> <br />Date Tank Pumped <br /> <br />...... Exi s_tin_g Bedr(~ms .... <br /> <br />Bldg Fee <br /> <br />Mobile Home Fee <br />Fleet Surcharge <br />Zoning Surcharge <br />State Surcharge <br />Plans Check Foe <br />Site Evaluation Fee <br /> <br /> "1 l am performing work on a property l own or oocupy Copy of lease ~ttached <br /> <br /> ~'). Other .... ¢-3 ~&~M~ . <br /> <br /> 0Lie Outdoor Advertisin~ 1-800-23}-~243 <br /> <br /> 7--- <br />OTHER PERMITS REQUIRED BY THIS DEP'r,: PLUMBING, MECHANICAL, ELECTRICAL <br /> <br />Septic Permit Fee:: <br />OEO Surcharge <br />Technical Review Fee <br />Reinspection Fee:: <br />Investigation Fee <br />City Fee <br /> <br />TOTAL PEE <br />RECEIPT NO <br /> <br />6.50 <br /> <br />5 - O0 <br />31.46 <br /> <br /> <br />