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JFOR 0PFICF~ USE ONLY <br /> <br /> Zoning Validation: ~ <br /> Date: ~-~P~ ~-~ <br /> <br />MARION COUNTY BUILDING iNSPECTiON ~ ONLY <br /> 220 High Street NE <br /> SaJt~m, OR ~1 ~ - mt:'lC** $~thaek/~Require~entS:]R~r: ,/~0! <br /> sss-7 <br /> BU~D~G P~RM~ APPL~ 199~ <br /> <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 <br /> M/~RION COUNTY <br /> <br />3. Contractor Information <br /> <br /> ) I own reside in or will r~sidc in the complet*d <br /> <br /> ) I und~13tand tiaa[ I mus[ register as a constmctlea contl'aetor if the s[meture is aold or offered for sale befo~ or upon completion. <br /> ) I w-ill be my own geaeral contractor. <br /> <br />If I ~ sabcontraetora, I will hire only subcomtaetors registered with the Construction Cmtraetors Board. If I change my mind and do hire a general coatraetor. I will contract <br />with a contractor who is i,egistenrd withe Comtmction C0~traetor's Board. and will immediately notify Marion County of the name of the contractor <br />,,,: . ~ ~ ..0~¢,o ...... . <br /> ff¢3 /7// <br /> ( [-~/~m a =gistered builder OR tht~ authorized mpmaentativ¢~ a mgistared ba/lder. 7 ,~,~' ~ <br /> <br />4. Fee Schedule <br /> <br />A, VALUATION (Sec "Valuation Schedule" <br /> <br /> square footage,) <br /> <br /> (1) Permit Fee <br /> <br /> (2) 5% S~ale Surcharge (.05 x Al) <br /> <br /> O) SIruetural Plan Review (.65% x Al) <br /> (4) Fire & Life Safety P/an Review (.40% x A 1 ) <br /> <br />Miseellaneous Pees <br /> <br />(1) Driveway w/curb @ $7.50 <br /> <br />(2) Driveway w/o curb @ $17.00 <br /> <br />(3) Si~e Plan Re'Acw (commercial only) @ $79.00 <br />(4) Additional Plan Rewlews or Addcndoms <br /> <br />(5) Investigation Fee <br />(6) Reimpection Fee @ $25,00 <br /> <br />(7) Other Ins1:?,.,cfions not listed above <br /> <br />I hereby ceaify that the above information is correct and that I have read and understand the Information Notice to Property Owners about Construction Responsibilities on the <br /> <br /> r ./ <br /> <br />MC 15-73 Rev. 11/91 <br /> <br /> <br />