Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97801 <br /> <br />PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br />lam perform ,9 work On A property I own or OOOPPY, .~?$.~?~ ~ <br /> <br /> 1:[418 I:'AR[;0 R~ BE: , CONTRACT CITY: ~ U~: ~6~ff L6L6~ ' <br />AUI:;:OR~ Ol:~ 97Se2 , HAR:[GI,I COUIq'I'Y~ N9 <br /> <br />ARCI I £CT/E'$iiliE:I:'(~ IqO= <br /> <br />!:'HONE: 4~78'"1;~68 '-"- <br /> <br /> :]: T E M <br />[4!J :[ L,t) :r~ N [;- [":' I"-: i,:.: , <br />BUILDING S'T'ATE SURCHARGE: <br /> <br />QUANT :[TY <br /> <br />AMOUNT <br /> <br /> $6,, 50 <br /> <br />TOTAL .~SSESSFZ~) FEES <br />F'REV;[OU!~ KECLII f9 <br />'CqtS I ECi:I~ I <br /> <br />TYPE: I,';K <br /> <br />PAYEZE~ RAC, ET-FI!~, RAL.PH <br /> ~]CI~,.T,\, :~,0 BY'r; .,[__ ...................................................................................... <br /> <br />FOLLOWZN~ MUST BE COMPLETE~. IT IS THE RESPONSIBILITY OF THE APPLICANT ~0 ASSURE THAT <br />LL HECESSARY IHFOR~ATION HAS BEEN PROVI~E~. ~ ¢~ ~D <br /> <br /> F't. hl ..... ........ <br /> ZO,] ,IG: BY ............ ~ ............................. I?AI :,__~2_&~?.~,~L_ TOTAL SO F"f': <br /> ,.~E.., Y I ,,. BY DATE =~0k.LI=S. ! ,.~o <br /> <br /> "T'" ..................................................... E ....E~ <br /> C,,, f f JUR]:SD:[C'TIOI,h~ BY DATE .i~ER.,, PATH: Sr <br /> REHAt~KS',: <br /> <br /> <br />