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f'OR OFF'~C~ USS 'ONLYI <br /> <br />Zoning Validation: -7~ x,~ F. -- I <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> 220 High Street NE <br /> Salo~. OR 97301 <br /> $:00am-4:30pm 1~one 588-5147 <br /> Co~e~A-Phoa~ ~g8-7904 <br /> FAX 588-7948 <br /> <br />COMPLISTE ALL SECTIONS. 1 THROUGH 4 <br />i..lob Description <br /> <br />( /~ew Single Family Dwelling w/garag~ <br />( ) New Single Family Dwelling w/o garage <br /> <br />NLY <br /> <br />ONE & TWO FAMILY DWELLING PERMIT APPLICATION <br /> <br />( ) Garage, detached <br /> <br />MARION COUNTY <br />BUILDING INSPECTION <br /> <br />Tm,ss( ~'ot RafmT( <br /> <br />Otl~r: <br /> <br />2. Location of Installation <br /> <br />Contractor lnformtion <br /> <br />( ) I under.nd flint I must wgister m a ~mim~on oonga~ if ~* s~a~e is sold or offered for ~ale ~f~ or u~a cmplefion. <br />( 2 i 1994 <br /> <br />( ) I am a roglst~rcd builder OR the andlorize, d relxcseutativ¢ of a reglateged buildex, <br /> <br />4. Fee Schedule <br />A. New On,-and-Two Fan'dly Dwelling Code <br /> (Jnlmdes El, Me, P1) <br /> <br />(2) 5% State Surcharge (.05 x Al) <br /> <br />(3) Plan Review <br /> <br />(4) 7r~e~tag Surcharge ($15 if applicable) <br /> <br />Miscellaneous <br /> <br />(1) Driveway w/curb @ $7,50 <br /> <br />(2) Driveway w/o curb ~ $17.00 <br /> <br />O) Additional Plan R~vlows or Addendums <br />(4) Inve~tlgafion Fee <br /> <br />(5) geinsFcction Fc~ @ $25,00 <br />(6) Other Inspe~ons ~m listed above <br /> <br />I Ilcreby ?crtify t~.at d~e above information is correct and that I have read and understand the Information Nofi~ to Prol~ny Owners about Construction Respons b lilies on he <br /> <br /> <br />