Laserfiche WebLink
06/16/98 T-dE 08:04 FAX [ 503 5S8 7948 <br /> <br />M~RION BLDG INSP <br /> <br /> MARION COUNTY <br />BUILDING. INSPECTION DIVISION <br />3150 I..aac,uto- Dr. h'~ - Suim C <br /> Salem, O~gon q7305-1398 <br /> <br /> MECHANICAL PERMIT APPLICATION <br /> Please complete all Sections, 1 through 5 <br /> <br />1. LOCATION OF E~STALLATION <br /> <br />[___PERM~S ARE NON-TRANSFEI~LE AND EX~IRE 1F WORK IS NOT ! <br />STARTED WITHIN 180 DAYS OF I~SUANCE OR 1~ <br /> WORK IS SUSP][~N~DED FOR la0 DAYS. <br /> <br />2A. CONTRACTOR LNSTALLATION ONLY' <br /> <br />Mailin$ Addr'-~-~ Cir~ <br />COHIRACTOR'S S IO'NATURg <br /> <br />FOR OWIVE~ INSTALLATIONS <br /> <br />3. PL~ REVIEW SECTION <br /> <br /> Marion County does not require a plan review, <br /> We w/ll provide plan review service if you complete <br /> Section 5B and submit two (2) sets of plans and <br /> specifications with this application. <br /> <br />Issued by: ~-- <br /> <br />4. FEE SCI:IED_U.~cC~p~=~ ~d ~r total <br />~sm~h'ruO. ~ c~ ~ <br /> <br />BASE ~E ~ ON ~L ~ONS <br /> <br />o. g~i~m s= ($P.~.o0) $ ~ <br /> TOTAL AMOUNT DUE $ <br /> <br />MC l$~tl 7/97 <br /> <br /> <br />