Laserfiche WebLink
F~O-R CITY VALIDATION <br />Rece~ived By: __ <br />Zoning Validation: <br /> <br />Date: <br /> <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 <br /> <br /> 1. JOB DESCRIPTION <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Church St. NE - Room 132 <br /> Salem, Oregon 97301 <br /> 8:00am-4:30pm Phone 588-5147 <br /> 24 HR Inspection Line 373-4427 <br /> FAX 588-7948 <br /> <br /> MANUFACTURED DWELLING <br /> PERMIT APPLICATION <br /> <br />FOR CITY USE ONLY <br /> <br />*Floor Plan Required* <br /> <br />KNew Garage or Carport <br /> Placement <br />( ) Replacement ( ) ARached <br />( ) Additional Unit Add-on ( )D~tached I~'''O- <br />Name: ~ M~ufacturer lqq 8- <br /> <br />t~ofSi~ag: ~p~ofRootmg: Squ~eFootage: /~ No. ofBedrooms: ~ <br />(~ W~d (~ Comp <br />( )Me~ ( )Stol Pit Set:__~ Su~rG~Cents( )Yes ( )No <br /> ) Vinyl ( ) Meal ~] ~ *Include D~umentation <br /> <br />2. LOCATION OF INSTALLATION <br /> <br /> Mailing Address: <br /> Mailing Address: ,~ <br /> S~ction: Township: Range: Zone: Map: <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />I Mailin~ Address: .... Phone: <br /> <br />4. FEE SCHEDULE <br /> <br />TOTAL <br /> <br />hereby certify that the above information is correct. Permits are non-transferrable and expire if work is not started within 180 days of issuance <br />or if work is suspended for 180 days. ~ <br /> <br /> <br />