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~'ORG~TY VALIDATION <br />Received By: <br /> <br />Zoning Validati~m: <br />Date: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Church Si NE - Room 132 <br /> Salem, Omgon 97301 <br /> 8:0~n-4:30pm Phone 588-5147 <br /> 24 hr. Imp~:tton Line 588-7904 <br /> FAX 588-7948 <br /> <br /> BUILDING PERMIT APPLICATION <br /> <br />FOR CITY USE ONLY <br /> <br />RESIDENTIAL COMMERCIAL <br />"('~,)Alleration ( )Other ( )Alteration ( )Sign <br />( )Accessory ( )ChangeofOccupancy ( )Other <br /> <br />2. LOCATION OF INSTALLATION <br /> <br />Mobile Home Park Space # <br /> ~v~Well ( ) S~ ( ) <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />4. FEE SC~DULE <br /> <br />A. <br /> <br />q¥,53 <br /> <br />I Ig-re~ y certify that the above information is con, ct <br />Permits a~ non-tr~.nsfenable and cxpin: if work is not started within 180 days of issuance o[f work is suspended for 180 days. <br /> <br />Name of Applicam ,Please Print}: ~.~ ~ Phone: ~ 7~ '~-~ ~/3 <br /> o.,.: <br />,c,,.,, ,.,~, 7/ /' '-"" <br /> <br /> <br />