Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO. <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE 58~-5i47 <br /> CODE-A-PHONE 4:30 RM. - 8:00 A,M, <br /> <br />I am performing work on a property J own or occupy. <br />I am a registered bulldel OR ( ) the authorized representative <br /> <br />have read and 8(~lee to Ele terms stated on the ¢over~,e side of <br />this docu f'qeglt. <br /> <br />TAX LOT: <br /> <br />CONSTRUCTION TYPE: <br /> <br />CATEGORY: <br /> <br /> C'T <br />AU;'"~::¢/ [ i_ L E <br /> <br />CONTRACT CITY: UGB: <br />I'qAR ~ ON COL NT Y' t'40 <br /> <br />MAILING ADDRESS: <br /> <br />SUBDWJ$1ON: <br /> <br />MAP: <br /> <br />WIDTH: '~ [DEPTH: AREA; ~ UNITE: t'~'~ IRREG. LOT: <br /> <br />..... ., 9., 0 .¢ AC "r'ES NO <br /> <br />AFP~...~.,1 ~ ,,h ix:,_); <br /> <br />k,r-x?F, Fu;.%,'E !. <br /> <br />i:,x: ,' Ft:: RECE. T, ~-q- NO; <br />....... , ¢-¢, . ' TYPE: ;H;'CK ~: <br /> <br />* TH~S I$ A VALID PEk"~IT ~ TI-tT,.S: PEFb*4IT BXPIRES 180 DAYS F~ ITS ti~E DATE. IF <br />~STRSCTI~ C~ES FOR A P~OO,O~ 180 OA~, OR IF ~ST~JCTI~ PALLS TO MEET A~L <br />RE(%~IRE~ENTS OF STATE ~ ~D ~t~ ~N~ BUILDING ~D Z~ZNG ORDiNanCe, TH~S PE~IT <br />~ALL BEC~E NULL AND VOID. <br /> <br />FORM ~' MC 15-~6 REV 11/88 CUSTOMER COPY <br /> <br /> <br />