Laserfiche WebLink
FOR CITY VALIDATIONI MARION COUNTY BUILDING INSPECTION I FOR CITY USE ONLY <br /> <br /> ' ' - tJII'"LP/~/J. . ZO <br />COMPLET~ ALL SF_,C~0HS, ! THi~OU~H 4 :' . - ~9~ '~ ' ' <br /> <br />1. JOB DESCRIPTION <br /> <br />( ) AdditiOn ( ) Relocation <br />( t~tetafion ( )'Othe~ <br /> <br /> ( ) Accessory <br />Description of W~ ~ <br />~ms: / { No. Stor~ <br /> <br />[Mnilln_~ Ad~ <br /> <br />Use of Slructm~: <br /> <br />( ) I nm a CONTRACTOR ~ wilh Ihe Stal~ of Oregon. <br />Business Nan~ R~gL~n~on No. <br />-. ~.:'.. :,':~,-, : . ~ .... . . .. . ... . · .. ,- - .; . ... : ,, , <br /> <br /> i~ .' .* · '-- · ' ': ~;' : :' . L,"', '.' :: ~ ] <br /> <br />4. ~ SCHEDULE <br /> <br />Ao <br /> <br />(3) Reim~.aou ~ e SZ.S.oo <br /> <br />I hereby certify flint the above infommiion is cot~ecL <br />Permits are non-transferrable and exp'n~: if ~ is. nQ3 Started .withi~ 180 day~s~of issuance or if work is suspeu ~. for 180 days. <br /> <br />MC 15-73 Rev 1/95 <br /> / <br /> <br /> <br />