Laserfiche WebLink
lFOR-C'ITY VALIDATIONI <br /> Received By: __ ] <br /> Zoning Validation: [ <br /> Date: ]. <br /> <br /> ! MARION COUNTY BUILDING INSPECTION FOR CITY USE ONLY <br /> COMMUNITY DEVELOPMENT CE~I'~ City $etbaek Req, almme~: <br /> 285 Church St. NE - Roora 132 <br /> Salem, Ore~on 97301 <br /> 8:00am-4:30~m Phone ~8-$147 Front: ~ <br /> 24 hr. ~tionFAx $~-'/9~8~ $~-']904 Le~ Side: PAght Side: <br /> <br /> BUILDING PERMIT APPLICATION <br />COMPL~I'~ ALL SECTIONS, 1 THROUGH 4 <br /> <br />1. JOB DESCRIPTION <br /> <br />RESIDENTIAL COMMERCIAL UIz of Structure: <br />( )Alt~ation ( )Other ( )Alteratioll <br />( )Accessory ( )Chang~ofOccupancy ( )Other <br /> <br />2. LOCATION OF INSTALLATION <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />u u .... , _- <br /> <br />,JUL I U I~1:1 <br /> <br />4. FEE SCHEDULE <br /> <br /> MARION ~OUNTY <br /> RI III rMM~ IMC~DI::t"TIt'~KI <br /> <br />(3) ~ ~ ~ $~,~ <br /> <br />1 hereby certify that the above information is correct. <br />Permits are non-tsansfetrable and elpim ~is not stated within 180 days of issuance or if work is suspended for 180 days. <br /> <br />MC 15-73 Rev 1/95 ~ <br /> <br /> <br />