|
MARION COUNTY I~,!ILDING INSPECTION
<br />sEr,,II~II:OR OLDG. NO. 225
<br />220¢,RIGH STREET NE
<br /> SALEM. OREGON 97301
<br />
<br /> PHONE 588-5147
<br />CODE-A-PHONE 4:30 P.M. - 8:00 A,M.
<br />
<br />I have read and agree to the terms stated 0n the reverse side of
<br />
<br />TAX LOT:
<br />
<br />CONSTRUCTION TYPE:
<br />
<br />CATEGOSY:
<br />
<br />OCCUPANCY:
<br />
<br /> :t,: u:::,: ) ?~;,^,/DON M~,3 ,.~p,.,,.,
<br />USE O¢ BUILOING~
<br />
<br />97092
<br />
<br />UGB;
<br />
<br />OCCUPANT
<br />
<br />L,OT; BLOCK: SECTION: TOWNSHIP:
<br />
<br />SUBCIJVISION;
<br />
<br />VALL.iA? Z.'_'/N
<br />
<br />MAP:
<br />
<br />',:;ON'Fq~AC'*'OR, NO.
<br />
<br />;/,'.'iS,.' S, LC'(-'Li%'7
<br />*,,;~,!'4L"Y, (DR 9?3" 3
<br />
<br /> , ~= ,;= ~, ,,.
<br />
<br />· * TH/S ~S A VALJ:D PERM];T `'~ ~H;[S,:~ERN,[T;,EXP~E;S !80' BAYS ,E~ ];TS TS.SUE DATE
<br />~ONoTRUCT;ON CEASES FOR A ,,,PEF~[ODk=OF ~:80, DAYS,,7 OR, :[F =COi~,T~C,~'rON FAZLS TO NEET ALL
<br />RE ~. ' = = '"- -"-
<br />~ QU;[RE~ENTS OF ST. TE LAI^tS ~N,,D,~;t'ON COUNTY BU];,LDZNG ~D ~Z~;[NG ORD"NANCE,~. TH.TS
<br /> .~.. ,... ? :,,= ,=,=, , j :':'
<br />
<br />'-.","'"'¥'" ...... ' ...... '"""
<br />
<br />FORM # MC IS'~ ~V IT/~ OFFICE COPY
<br />
<br />
<br />
|