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MARi~N COUNTY BUILDING INSPECTION IFOR OFFICE USE ONLY <br />,\{', .Lr 220 High affect'NE [ City Setback Reqni~anents: <br />~'~ d/ Salem, OR 97301 <br /> <br /> F~ 588-7948 <br /> BUmD~G PERM~ APPLICATIO~ <br /> <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 MARION C0[J N'rY <br />1. Job Description _nU!L_n!,~!~ I,~ <br /> <br />2. Location of Installation <br /> <br />I~ I hire snbcotltractor~, I will hlw only subeontraoto~ m~s~ ~ ~e Constm~on C~trae~ B~rd. ff I change ~y ~d and do ~rc a general contra~ot, I will <br /> <br />wi~ a ~traetor who is ro~sm~d w~e C~stm=ti~ C~e~r's B~rd. ~d ~i ~med~y no~y Marion County of ~e name of &e c~tractor. <br /> <br />4. Fee Schedule <br /> <br />VALUATION (See"Valuation Schedule" <br /> <br />to d~texmlne v~lua6on I~seA on <br />Fqua~ f~ge,) <br /> <br />(l) l'~it F~ <br />(2) 5% S~I~ Su~ha~ 605 x AI) <br />(3) stmetu~R~iew (.~% ~ Al).~ <br /> <br />(5) ~n]ng S~rcha~e, if ~pp~cable (.05% <br /> <br />(1) Driveway w/cum @ $7.50 <br />(2) Driveway w/o curb @ $17.130 <br /> <br />(3) $i~ Plan Review (eommere~a! only) ~ $79.~ <br /> <br />(4) Addifi~al Plan Reviews or Addend~s <br /> <br />(5) ~s~fi~ Fee <br /> <br />(6) R~fi~ Fee ~ S25.00 <br />~) O~er~s~cfi~s not ~sted a~ve <br /> <br />l'heraby ¢eat£y rat the above ufformation ss ~or~ct and ~at I ~ve mad and uade~d ~e lnf~ad~ Notice to Progeny O~e~ a~ut C~stmcfion ~sib~des on ~e <br /> <br />MC 15-73 Rev. 11/91 <br /> <br /> <br />