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MARION COUNTY BUILDING INSPECTION <br /> 220 Higl~ S~'eet NE <br /> Salem, OR 97301 <br /> 8:00~a-4:30pm Phone 588-5147 <br /> Code-A-Phone 558-7904 <br /> FAX 58g-7948 <br /> <br />ONE & TWO FAMILY DWELLING PI~RMIT APPLICATION <br /> <br />( bO/New Single Family Dwelling w/garage <br />( ) New Single Family Dwelling w/o garage <br /> <br />(/~Garage, attached <br />( ) Garage, d~tached <br /> <br />MARION COUNTY <br />BUILDING INSPECTION <br /> <br />Tress (L~ or Rafter <br /> <br />No. Stories / I Detached Garag~ tleight: <br /> <br />3. Contractor Information <br /> <br /> ) I own, raqldo in, m will reside in the completed <br /> <br /> ) ~und~rstandthat~mustregim~r~ac~mtm~nc~n~a~if~ms~n~ei~a~d~r~redf~rsa~r~ru~c~mp~e~' <br /> <br /> ) I will ~ my own general co.tenor. <br /> <br />If I hire subcontractors, I will ldre only subcontract~s registered with the ConsWaction Contractor~ Board. If I change my mind and do h/re a general eontraelor <br />who is registered with the Construction Contractor's Board, I will immediately notify Marion County of the name ,d thc eontacor: __~ m ~- ~ 7 Z~ / <br /> <br /> ( ) I am a reglstered builder OR tile amhorized'~epresentative of a r*gistored bu/Ider. <br /> <br />4. Fee Schedule <br />A. NeW One-and-Two Family Dwelling (?ode <br /> <br /> ~ (iMcude~ El. Me, PI) <br /> <br /> (1) Gross Sq. Ft, ./~ ~gI~fx $.28 <br /> (2) 5% State Sutd~arge (.05 x Al) <br /> <br /> (3) Finn Review <br /> <br /> (4) Zoning Surcharge ($15 if applicable) <br /> <br />._l- <br /> <br />Miscellaneous Fees <br />(I) rmveway w/e~b (~ $7.50 = <br />('2) Driveway w/o curb @ $17,00 <br />(3) Additional Plan Reviews or Addeadums = __ .... <br />(4) Investigation Fee <br />(5) Reinspection Fee @ $25.00 = <br />(6) Other Inspections l~ot listed ahoy* <br />RnC~l}'I' :~_O'~..~ z-;/r__ x $~0 = --.~ <br /> TO~AL <br /> <br /> <br />