Laserfiche WebLink
FOR CITY VALIDATION <br />IReceived' By: <br />Iz~ning Vatidat. ion: <br />]Date: , /d <br /> <br />COMPLET~ ALL SECTIONS, 1 THROUGH 4 <br /> <br />L JOB DESC~PTION <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY B~VBLOPMENT CENTER <br /> 285 Church St, NE - Room 132 <br /> Salem, Oregon 97301 <br /> 8:00am-4:30pm Phone 588-5147 <br /> 24 ~r. Insl~:tion Line S88-790~ <br /> FAX $88-7948 <br /> <br /> BUILDING PERMIT APPLICATION <br /> <br />RESIDENTIAL COMMERCIAL Use of Structure: " <br />( ) Addition ( ) Relocation ( ) Addition ( ) New C./prlg.' ~{~ ~,~ <br />( ) Al~ration ( ) Other ( ) Alteration ( ) Sign <br /> <br />2. LOCATION OF INSTALLATION <br /> <br />Township ~ I~ /~ ~ne ~ MaP Wat,rSupply'. <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />4, FEE SCHEDULE <br /> <br />(l) %rrait Fee <br /> <br />(2) 5% Sm** Surcharge 605 x Al) <br /> <br />(3) Structural Plan Review (,65% x A I) <br /> <br />Name ot Appli¢imt (Please Ptiat): <br /> <br />Signature of Applicant: <br /> <br />=$ <br /> <br />TOTAl. <br /> <br /> <br />