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FOR OFFICF~USE QNLYL MARION COUNTY BUILDING INSPECTION <br />Redeived By' ~ ~ ~ - COMM~ DEVELOPMENT CE~ER Ci~ Set~ek Reqa~ent~;: <br /> ~ ' ~ ~ ~ ~ ~ t ~ 285'Ch~eh St NE - Roon1132 <br /> ~alem, oregon y~OVl Fret: ~ ~ ]~ * <br />Da~' ~-/'[ ~q3~ ' <br /> <br />FOR OFFICE USE ONLY <br /> <br /> BUILDING <br />COMPLETE ALL SECTIONS, 1 THROUGEI 4 FEB <br />1. Job Description Mb, PdO~ COUN'f¥ <br /> <br />2. Location of] stallation ~ <br /> <br />3. Contractor Information <br />PmF~nyOwn~r ~ff-~,~ ~ <br /> ( ) I own. reskle in, or will ies~te m ~e <br /> <br />I Mailing Address ] Phone No: <br /> <br />( ) I will be my own gtmeral contractor, <br /> <br />(~a'-ma'~gi~tcr~dbuilder'ORm'eauthoriiwdrerrcs"emtar~'eofar~gi$lerM'buiM~r, Ag' -~- ~'. ,~$/ttm. ~//-,E- qTgO~, ' <br /> <br />Mmlms Addmsst I Phone:: <br /> <br />Fee Schedule <br /> <br />A, VALUATION (See "Valuation Sehexlule~: <br /> <br /> square goo;age,) <br /> <br /> (I) Permit Fee <br /> <br /> (2) 5% State Surcharge (,05 x Al) <br /> (3) SIn~¢tural Plan Review (65% x Al)~/'~:.LI~-' <br /> tX :~-. ' <br /> (5) ?xmthg Surcharge~ if apphcable (.05% x A 1) <br /> <br /> (I) Dtlveway w/curb @ $7,50 <br /> <br /> (2) Driveway w/o curb @ $1700 <br /> <br /> (3) Sate Plan Review (commercial only) <br /> <br /> (4) Additional Plan Rewewx or Addendms <br /> <br /> (5} Investigatic~ Fee <br /> <br /> (6) Remspection F~e @ $2500 <br /> <br /> (7) Other Im~etions not li~ted above <br /> cra r. .... <br /> <br /> <br />