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Zoning Valida~on: <br /> <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Church St. NE - Roam 132 <br /> Salem, Oregon 97301 <br /> 8:00~m-4:30pm Phone 588-5147 <br /> ~4 HR Inspection Line 588-7904 <br /> FAX 888-7948 <br /> <br /> FOR CiTY USE ONLY <br />City S~lhack Rcquir~ngnts: <br />Front: ~ · Rear: /d / <br /> <br />MANUFACTURED "WELLI~i~ ~ <br /> PERMIT APPLICATIO~ff /k~(~'~7 ~ ~?~ ~-~ <br /> <br />( ~3'~ew Placement Gara~gg~o~.~arp~ <br />( ) Replaee~m (~) At~ch~ <br />( )A~ifio~UnitAdd-on, ( )Detached ~ r/lira,. ~ COII~I~, <br /> , <br />~ of Si~: Ty~ of Roo~g: Sq~ Footage: <br />( ~ ( ~mp <br />( ) Metal ( ) Stol ~t Set: ~ergy: <br />( )Vinyl ( )Metal <br /> <br />Watex Supply: ( ) Private Well ( ) Community Welt <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> ( ) I am the PROPERTY OWNER and own, reside in, or will reside in the complet*d smtcture and will be my own general contraetoc I unddr~tand that I <br /> <br />I Busim:ss Name: , Regislrailon No.: <br /> <br />Mail ng Address: .,~.~/ ~ <br /> <br />4. FEE SCHEDULE <br /> <br />Photo: 70 ? - 77 g'~ <br /> <br />B. Additional Inspection/ <br /> (beyond third inspection) <br /> R~inapection Fee <br /> <br />$60.00 = <br /> <br />I hereby certify that the above information is correct. Permits are non-lransferrable and expire if work is not started within 180 days of issuance <br />or if work is suspended for 180 days. <br />NAME OF APPLICANT (please g~lt~O--.~=~ ~ ,A~ ~ PHONE: 7~-77~ <br /> <br />MC 15-64 Rev3/95 <br /> <br /> <br />