Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own or occupy. <br />I am cA registered builder OR he au her zed represen ave <br /> of a regiatered builder, <br />The work will be performed by a registered builder. <br />Other <br />I have read and agree to the terms stated on the reverse side of <br /> <br />~ TUB AD~R/SS; ~ CONSTRUCTION TYPE; ~:~ ~:~:~ 'J' ~)~?' ~j T ~ ~J <br /> <br /> ~ ~, '---~'-~ ................................. <br /> F'~O~IE~' <br /> <br />TYPE: BUILDING <br /> <br />PERHIT gR RPPLICATION NO: ~861~47 <br /> <br /> ARCHITECT/ENGINEER~ <br /> <br /> P~YEE: 60URLEY~ <br /> ~I~CEIYED BY: PN <br />· TH~S IS NOT A PERHZ~ <br />LL NECESSARY <br /> <br />CONTRACTOR,, l,lO~ <br />GOURLEY0 ~ JEANE'rTE <br />PO BOX lJ5 <br />AI.tNSVILL. IE~ O~ 97325 ,:.:,,, <br />PHOHE: 74~,-.274I ,:; PHONE: <br /> I"f'E~ ,: QUANTITY AHOUN'f <br />BU]:LDING FEE :,,:; $14. <br />PL. AN REVIEW <br />BUIL~IN(; STATE ~, $9,. 43 <br /> <br /> ~' FEES $24,, 66 <br /> :¢ $24.66 <br /> <br /> : TYPE= IN CHECK :1~: <br /> <br /> ~EVIEW PROBESB WHERE THE <br /> OF THE APPLICANT TO ASSURE THAT <br /> <br />PLAN REVIEW~ BY <br />ZOHIN6: BY <br />¢I_F f 1{,,, , ' :'.,,.: ~ ~TORIES: 1 <br /> , ,, PL A~!; ACTtON: <br />C:I'~Y JURISD ~'" []N: BY ~TE' F~EI:~6Y F'~TH~ <br />REHARKS: DRY ROT REPA:[R~J~THRO0~ FLOORING & REPLACE SIDIbl~ <br /> <br />SETBACKS: FR 2¢ <br /> I..f:~-5 <br /> RS'5 <br /> PR"'5 <br /> r;F:':,'i .... <br /> <br /> OFFICE COPY <br />FORM # MC 15-66 REV, 4/t~O <br /> <br /> <br />