Laserfiche WebLink
Validation:' <br /> <br />dPLETE ALL SECTIONS, ! THROUGH 4 <br />OB DESCRIPTION <br /> <br />MARION COUNTY BUILDING INSPECTION FOR CITY USE ONLY <br /> <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Church St. NE. Room 132 <br /> Salem, O~:m ~/~01 <br /> 8:00~m.4:~0pm Phone SS8-S147 ~--~]~'] (~.T <br /> 24 hr. [ PJl~'ctlon line 588-7~0~ I ~ I ~'~' <br /> <br />BUILDING PERMIT APPLICATI~ BEC <br /> <br />~IDENTIAL [ COMMERCIAL <br /> <br /> ( ) Addition ( ) Relocation ( ) Addition ~ New <br /> <br /> ( )Alteration ( )Other ( )Alteration ( )Sign <br /> ~Accessoi'y ( )Changeof0ccupancy ( )other <br /> <br />MARION COUNTY <br /> <br />Bl..q L~I~.4N,$'P E C'T I 0 N <br /> <br />CONTRACTOR INFORMATION ~ PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />FEE SCHEDULE <br /> <br />'-fV ?7 <br /> <br />= <br /> <br />hereby certify that the above information is correct. <br />ermits arc non-transferrable and expire if w~'k is not started within 180 days of issuance or if work is suspended for 180 days. <br /> <br />JameofAppiicant(PleasePrint): J "T~J~,,q · '"~N.~JJ~)~.._ Phone: <br /> <br /> <br />