Laserfiche WebLink
FOR CITY VALIDATION <br /> <br />|Zoo_ia~ Validation: ~ <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVBLOPMENT CENTER <br /> 295 Chm'ch St. NE - Room 132 <br /> Salem, Oregon 97301 <br /> <br /> 24 hr, inspection I <br /> <br />CITY USE ONLY <br /> <br />[ <br /> <br />COMPLETE ALL SECTIONS 1 THROUGH 4 <br />L JOB DESCRIPTION - ~ ...... :' <br /> <br />2. LOCATIG ,NSTALLA~ION ' <br /> <br />Subdivision ] Lot Block <br /> Pfiva~ Well ( ) Spring <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WH° IS DOING THE WORK <br /> <br />4, FEE SCHEDULE <br /> on squa~ footag~ O£projeet.) Valuation; $ ~/2- ' <br /> <br /> (2) $~ State flarchargc 605 n Al) ~-, ~- <br /> <br /> :.., g. go~, <br /> <br />13) Stmc~ral Plan R~view (,6S% x A1 ) <br /> <br />(5) Zoniag Surcharge, if applicable (,05~ x Al) <br /> <br />Sig~atur¢ of Applicant: ,~ <br /> <br />MC 15-73 Rev 1195 <br /> <br /> <br />