Laserfiche WebLink
I~R CITY VA~LIDAT, Ip~N <br />Zoning Validation: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNFFY DEVELOPMENT CEN'f~R <br /> 285 Church St. NE - Room 132 <br /> Salem, Or~gon 97301 <br /> 8:00am-4:30pm Phone 588-$147 <br /> 24 hr. lnsgection Line $88.7904 <br /> FAX 588-7948 <br /> <br /> BUILDING PERMIT APPLICATION <br /> <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 <br />1. JOB DESCRIPTION <br /> <br />RESIDENTIAL COMMERCIAL <br /> <br /> ( ) Addition ( ) Relocation ( ) Addition ( ) New <br /> ( ) Alteration ( ) Other ( ) Alteration ( ) Sign <br /> (~.)Acccssory ( )ChangeofOccupancy ( )O~her <br /> <br />LOCATION OF INSTALLATION <br /> <br />FOR CITY USE ONLY <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br /> () <br /> <br /> () <br /> <br />4. FEE SCHEDULE <br />A. <br /> <br />I am an AUTHORIZED REPRESENTATIVE of the property owner o~ con.actor. <br /> Ning Address <br /> <br />VALUAI/ON ($~ "Valuation Schedule" to determine valuation <br /> <br />on square foo~a~ of project.) Valuallon: $ <br /> <br />(3) Stxuctural Hall Review (.65% x Al) ~ <br /> <br />I hereby certify that the above information is correct. <br />Permits are non-transferrable and expire if work is not started within 180 days of issuarwe or if work is suspended for 180 days. <br /> <br />Signature of Applican .g~~ '/ ~.~g:~..,f ~ <br />MC 15-73 Rev 1/95 ~ ~ -- <br /> <br /> <br />