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10/0~/95 TUE i?:D F~ 1 803 888 ?045 <br /> <br />~RION BLD~ INSP <br /> <br />~ Rec~iv:d ay: Dam: <br /> <br />I Re, dp[ 8: ......__.__..__..._Amount: $ <br /> <br />MECHANICAL PERHI~ APPLICATION <br />B~a~o om.~la~ all ~e~tioa$~ I through 5 <br /> <br />l'ig~l~8 ~ NON. TRANSF£A4~r.~ AND ~1~ IF WO~ <br />] IS N~ S~BD ~HIN ISO ~ OF188~C~ O~ ~ <br /> <br />WHO ~ DO~G ~ WO~ <br /> <br /> R~Si~On <br /> <br /> P~pe~ Ow~a ~'~ <br /> ~ty: St~ ~P: <br /> <br /> ~demaM that I m~t rtgimr <br /> s~ctut~ is tom or offender salt <br /> hi~ su~ontr~tor% I <br /> rt~ Co~t~ction Contr~ton <br /> <br /> Con~actort Boa~. I will immediateO not~ MaHon ~un~ of t~ <br /> ~ of~ ~ont~ton <br /> <br />MARION COUNTY BUII~]NG I~PECTION <br />CO~ DBVE~OMvIBNT CP~T~ <br />3150 ~w Dr. N'E - Suite C, Salem, Om~on ~305 <br /> <br /> · 8:00am- 4;30~m <br /> 24 HR las~ction Line 373-4427- FAX 588-7948 <br /> <br />4. l~gl~ SCHEI)UL~ (complete =d eater.!~al ~, ,/~!,. <br /> <br />( ) N~W ( ) ADDITION <br />( )Siil. OC. ATION ( ) ~ACSI',iI2rl' <br /> <br />ALT~,AT~ON <br /> <br />OTY <br /> <br />l:'wnaa (Ind~l~ duel* t <br />O~P~e(~ I~,~B~ __ x $12,~ =S <br /> <br /> ~ch o~ up to 4 ~fl~ __ X ~,~ = $ <br /> <br />~H~ x Si2.~GS <br />Beat ~. <br /> <br />Un~r S Ton __ x <br />By--va C~Ier __ x ~,~ e $ -- <br /> <br />Co~ E~aust ~it~ __ x $9.~ = S __ <br />~l~&~ __ x s9.~=s ........ <br /> <br />WorN~ ~c~l Only) <br /> <br /> 3, PLAN P,.EVI~W SECTION <br /> M~i%n County does nol require a plan mvicw. Wa will ptmdde plan { ($62~. m~i~m ~o Im~) <br /> ~i~w ~o If y~ oom~{~ ~on lB ~ lub~t ~ ~) ~ Of H. $dsmk ~ $01% x A O) <br /> pl~s *~d s~iflo~o~ wire mis applian~on, ] ~} ~ ' ~ ' ~ ' AM*"N DUE <br />I . * ~ ~AL vv ~ <br /> <br />~A.~ FF. R A~tutd aa /diI. A. PP;JCATION$: $ ~.~ <br /> A2. Add S~o Su~h~ (.~ x A1 <br /> <br /> . C. lnv~8~on Fee Of ~u~ S <br /> D. ~ F~ (~0.~) S <br /> <br /> K I~ fat ~i~ <br /> (~, ~ ~ ~) S __ <br /> <br /> <br />