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MARION COUNTY <br /> BUILDING INSPECYION <br />$¢~aIor Building · 220 High Street NE · Second Floe* · S~lefa. O~gon 97~01-3670 <br /> <br /> FROM THE STRUCTURAL ~PECIALTY CODE <br /> FOR AN AGR~ ~UILDING ON.A CO~RCI~ F~ <br /> <br />Is this property classified as farm deferred? Y N <br />(You must provid~ a com~ter prin~ou~ '~erifying sp~cta% ~ssessment for farm us~. <br />This can be obtained at the Marion County Assessor's Office located in the Franklin <br /> <br />Building, 495 State Street, Salem) <br /> <br />Are you located within the Urban Growth Boundary? <br /> <br />Describe ~ detail ~Rur co,mmer~al fan enterprise: <br /> <br />Describe iq.detail the of an~/o~co~modit~s stet in proposed <br /> / i <br /> <br />IS the proposed structure located within a flood plain? Y <br /> <br />Does the proposed structure have anylof t~, following systems? <br /> Y , ~/'x Heating/Cooling/Ventilation N,~ <br />Electrical Y~ N Plumbinp, Y <br /> <br />Where will reatroom facilities ~e provided? <br />Will persons be working in the ~ucture ~ere than a total of 144 hours, during any <br />week of the year? Y N <br /> <br />IS this structure used by the public,at any time? Y <br />Explain: <br /> <br />10. What is the distance fro~ the proPOsed ~tructuNe to property lines and/or other <br /> Right ~ Other structure~ ~0~ ; <br /> <br />11. This application will not be considered complete without a ~ite plan. See attached <br /> site plan requirements. <br /> <br />I certify that I have read this application and state that the i~formation given is <br />Correct. I agree to comply with all state la~ and county ordinances relating ~o building <br /> <br /> /4 J' <br />DAT~I ~ ' l <br /> <br />Validated By~ Approved: __ <br /> <br />COMMENTS: <br /> <br /> BUILDING DIVISION: <br /> Validated By:.,,,~' <br /> COMMENTS:~~ <br /> APPROVED: ~ DENIED~ <br /> Other pe~its required:~otri=al~l,,mhiag, Mechanical, septic <br />MC 15-76 <br />REV 9/9] <br /> <br />Approved .~ Denied: <br /> STRUCTURAL PERMIT IS RRQUIRED <br /> <br /> <br />