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FOR Ci~TY VALIDATION I <br /> <br />Zoning ValidaCon: g5¢~ ' I <br />Date: . ' ~/-~'.,5--9~' / <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DI~VELOPMENT CENTER <br /> 285 Church St. NE - Room 132 <br /> Salem, Oregon 97301 <br /> <br /> BUILDING P,~rMIT APPLiCATII~J ~J ] <br /> --- JUL -7 1995 ~ <br /> <br />COMPLETE ALL SECTIONS, 1 THROUGH <br /> <br />Ici FOR CITY USE ON. LY <br />IProat: <br /> <br />L JOB DESCRIPTION YARIflN C01j,qT~ <br /> <br /> ....... ~ Use o£ Structure: ~ <br /> RIRSI'DENTIAL COMMERCTAL B01LDINaJ~TK ~,~ ~ ~ <br /> ( ) Addition ( ) R~locafioa ( ) AddiSOn ~ <br /> ( )Alteration ( )O~er ( )Almraiion ( )Sign ~¢el~p~e~ F~.~m.~.~ <br /> ( ) Accessory ( ) Change of ~cupanc7 ( ) Other <br />~ I Is this a hla~eal buildiag? <br />~¢rgy Pi~th; I No. Stories ~ I No, Of~pl~ggs:ExisO~- N.w- I No.B~oms: .... <br /> <br />2. LOCATION OF INSTALLATION ~'~0 V~,°rttd 6 r~-~ q~dil/ (~ <br /> <br />3. CONTRACTOR iNFOR35ATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br /> ~ I m an AUTHORIZED RRPRI~II~NTATIVE of t2~ property ownee or, coat,ac or <br /> <br />4. FEE SCHEDULE <br /> <br />(2) Invcstlgat~on Fve <br /> <br />(3) R¢inspection Fee @ $25.00 <br /> <br />=$ <br /> <br />TOTAL = $ ~5~'~ 23.0' <br /> <br />I hereby certil¥ that the above information is correct, <br />Permits are non-lran$~rrable and expire if work is not started within 180 days of ssuance or f work s suspeoded for 180 days. <br /> <br /> <br />