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FOR oFFIc, USE O!YLYI, <br />] Re.c~ivcd By: ~-~~ <br /> ' <br /> Zoning Validation: ~ ] <br /> <br /> I <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> 220 High Street NE <br /> Salem, OR 9'/301 <br /> <br /> 8:00am - 4:30pm Phonc 555-5147 <br /> Code-A-I~o~e 588-7904 <br /> FAX 588-7948 <br /> BUILDING PERMIT APPLICATION <br /> <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 <br /> <br />IFOR OFFICE USE ~'NLY <br />City Sctl~ek R~q~tt~nents: <br /> <br /> Front: /~ / IRc,re/ <br /> ~t Siae: <br /> <br />I. Job Description <br /> <br />2. Location ol nstallation ~ ~ . - <br /> <br />3.:,,,,,..,ontracL._TformationC n~ln -/' , <br /> <br /> ) I own, msid* in, or will m,ldo in ~ ~pie~d <br /> <br /> ) I ~d ~at I m~[ ~8i~ as a ~st~fi~ ~c~ ff ~c s~u~ ~ sold or o~d for s~ ~o~ or <br /> ) IwiU~myo~gme~ <br /> <br />l,~ I ~ sub~nta~cton, I ~ hit~ only sul:~ontraoto~ ~giste.~ ~ ~e C~on Cm~ B~. ~ I c~nge my ~nd and do Nrc a general m)ntra~, I wiU ~nt~ct <br />~ a c~t~c~r who is m~sl~md ~e ~nstm~ Cm~a~fs B~, ~d wffi ~a~ no~y Ms'on County of ~e namc ~ ~e c~tractor, <br /> <br />4. ~ee Schedule <br /> <br />B. Mi~vellaneOas Fe~s <br /> (1) Driveway w/curb @ $7.50 <br /> <br /> (2) Driveway w/o curb @ $17,00 <br /> <br /> (3) $it¢ Plan R~v~ew (Canm~rc:ial only) @ $79,00 <br /> <br /> (4) Additionsl Plan Rcvlcws or A~dcndums <br /> (5) Inv=stigation Pc~ <br /> <br />(4) Fir0 & Life S.f~ty Plan Review (.~4~% x ?1) -' · (6) Relmpceti~ F~ ~ $25,00 = <br /> ,,, <br /> <br /> <br />