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MARION COUNTY BUILDING INSPECTION ['FOR (SFFiCE U~E ONLY' <br /> 220 High Stye, et NE [ City S~b~ R*q~i~t.:' <br /> Salem, OR97301 ~~' ~ear" ~/ <br /> <br /> BU~D~G PERM~ APPLIC~o~ 3 B <br /> <br />COMPLETE ALL SECTIONS. 1 THROUGH <br /> <br /> I. Job DeScrl )tlon <br /> <br />Location of Installation . ?qt/mfi~//~ ~r,q_ 5? 73%75:5' . <br /> <br />4. Fee Schedule <br /> <br />A. VALUAT/ON (See "Valuetiol~ Schedule" <br /> to rletennin¢ valuation ba~ed ~ <br /> ~quam f~tage.) <br /> (I) Pennia F~ <br /> ¢) 5% S~m 8umha~e (.05 x At) <br /> (3) Structural Plan Review (,65% x Al) <br /> (n) ~ & Life Safety Plan Review (.~% x Al) <br /> <br />B, Miscellaneous Fees <br /> (1) Driveway w/anrb@ $7,50 <br /> (2) DrJ. vewey w/o curb @ $17,0(I <br /> 0) Sim Plan Review (e~mer~l only) <br /> (4) Addi~onal Phn Rc~ew~ or Add~d~s <br /> (5) hves~gafi~ Pe~ <br /> <br /> (6) Rc~s~ef.on F~ ~ $25,00 <br /> G) O~er hs~efims not ~smd above <br /> <br /> <br />