Laserfiche WebLink
F BUILDING INSPECTION DMSION <br /> OR CITY VALIDATION 3~so ~e~,.-or Or. ~- s.~ c <br /> <br />IRecelved By: Salem, Or'eBon 97305-1398 Date:~ <br /> Office: phone $88-5147 8:O0am - 4:30pm <br /> <br /> MECHANICAL PERMIT APPLICATION i <br /> <br />L LOCATION OF ~ST~LA~ON ~AS~ <br />~°'~S /l~q5 ~m~ ~V //~ ~ -~ ...... <br /> <br />P~P_.RMITS ARI~ NON-TIb~NSFERABLI~ AN]) EXPII~ ]1~ WORK IS NOT ] <br /> STARTPD WITH.IN ! 80 DAY5 OF ]SSU^NCE OR ~1= <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> M~hani¢~ Contractor BEST HEATIN~ & 6ONTROL~ INC. I <br />I Mailing Address P.O. BOX 561 <br /> I <br /> <br /> ~,o~. s o 1~ i_1~ i~ 14 I-I: <br /> <br />2B, FOR OWNER INSTALLATIONS <br /> <br />City SClO <br /> i 41~'h_ <br /> <br /> Property Owner (plea$* prim) <br /> <br /> M~ling Add/~gs <br /> <br />3. PLAN REVIEW SECTION <br /> Minion County does not ,require a. plan review. <br /> We will provide plan rewew service if you complete <br /> Section 5B and submit two !2) s, ets of plans and <br /> specifications with tl~s apphcaaon. <br /> <br />x $6.50 = $ __ <br />x $1,50 =$ ...... <br /> <br />B. Enter 259¢ of Itu* Al for pl~ <br /> <br /> (A ] '~ ,25), if required <br /> <br /> 'IOTAL AMOUNT DUE <br /> / <br /> <br />MC 15-41 7/g7 <br /> <br /> <br />