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FOR CITY VALIDATI01~ <br /> <br />MAroON COUNTY BUILDING INSPECTION FOR CITY USE ONLY <br />- I <br />~N~A~U~" "WA~ ~ ~ ~ ~$ <br /> <br />w~ ( ~o~ .......................... <br />Vinyl <br /> <br />2. LOCATION OF INSTALLATION <br /> <br />CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />( ) I am the PROPERTY OWNER and own, reside in, or will reside in the completed stmctme and will be my own gemmal contractor. I understand that I <br /> must tegistor aa a constmgtion contractor if the structure is sold or offeiwal for Imle before or upon completion. If I him subconttnctoeL I will hi~ only <br /> subcon~tors registered with tl~ Constrtmtion Contractors Board. If I chang~ my mind and do hire n general conlta~tor who is r~gistered with th~ <br /> Consh-uction Contractors Board, I will immedintely notify Marion County of the harem of the contractor. <br />(~" I am a CONTRACTOR t~giateted with rite State of Oregon. <br /> <br />(er' <br /> <br />4, FEE SCHEDULE <br />A. Manof=etunxlvtaeeazn<onn~tiom $245.00 --- ~. d'~ B, Additional Inspection/ <br />(includes EI~ PL, MB commetiona) (beyond third inspection) <br />State Sumharge $12.25 = Rcinspecfion Fee <br /> <br /> State Fee ~0 $20.00 = <br /> <br />TOTAL <br /> <br />I h~reby certify that the above information is correct. Permits are non-transferrable and expire if work is not started within 180 days of issuance <br />or if work is suspended for 180 days. <br /> <br /> ,,e <br /> ,/ <br />MC 1544 Rev 3/95 , <br /> <br /> <br />