|
MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG.. NO, 225
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
<br />
<br /> ;,,. ~,,,,,- ;, i: ,,. PHONE: 588-5147:8:00- 4:30
<br /> ,,',. :,, ',' ,~ ,'~:"~, ~l. · ' .,24'HOUR CODE~A-PHONE:'588-7904
<br />
<br />of a registered builder.
<br />Th~/ork ~vill be l~erformed bya registered builder.
<br />
<br />I h~v~ read add agree tothe terms stated on the reverse side of DATE: .........................................
<br />
<br />BENT
<br />
<br />TAX LOT:
<br />
<br />USE OF ~uu.i:t NG?-~'?',~'---,
<br />
<br />MAILING ADDRESS;
<br />
<br />LOT; .
<br />
<br /> SE
<br />OR r~7325 "
<br />
<br />5828 SHAW HWY SE
<br />~UMSVII,,LE OR
<br />FHO~E:
<br />
<br />SITE
<br />VALUATIDN:
<br />
<br />OCCUPANT LOAD:
<br />
<br /> NO. OF BEOROOMS:
<br />
<br />TYPE: PLUNBIN~ PERMIT OR APPLICA?ION NO: 46342
<br />GONTRACTOR~ NO.
<br />~!E f'l'l'Z..KEN ,
<br />5828 SHAW HWY SE
<br />AUHSVILLE'.., OR :
<br />F'H 01,1E ,,, 362~6353 ~,,
<br />
<br /> · IT[h
<br />
<br />WATER I..I'NES, 1ST 100 ~EET :'
<br />:WA ER L. INE, S~ EA,. 0
<br />,S~blER L. INES..1ST 100
<br />PLUM.BIN~ STA'FE SLRCHABG
<br />
<br /> .... _ .................. ,-.. ,: ;-;:::,,-,,.- ......... l YF E. [,J"hsC,K ~, 0
<br /> * THIS IS ~ VALID. PER~"';'-~[~'~-~-:';,,: :':' ~:~ "*-"?"*e~'"*~'-; ......................... [TS ZSSgE: .............................................. D*TE. ~F
<br />CONSTRUCTION CEASES FOR, A~PEEI;'OD OF].I~:: FAILS TO HEET ALL
<br /> EQUIREHENTS OF STATE ZONING ORDINANCES. T4IS PERMIT
<br /> ALL BECOME NULL AN~ :::,' ;......:. ,.~::.~ . · - · ., .
<br /> :/.? ',' 4 :
<br /> ...... ..,.. ~:, ,, .~,~ . .:.~ ,
<br />
<br />T)OI4ALD t!::. WOODI_F:'f,
<br />
<br />~ # MC ~.~.~v. ~ INVOICE/R EC EIPT
<br />
<br />
<br />
|