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FOR' C~TY VALIDATION .MARION COUNTY BUILDING INSPECTION FOR CITY USE ONLY <br /> Snlem, Oregon 97301 <br /> <br /> BUILDING PE IO~ <br /> <br />1, JOB DESCRIPTION <br />RESIDENTIAL COMIVlERCIAL <br /> <br />~, LOCATION ~F~ST~LATION <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br /> ,~ I am lhe PROPERTY OWNER a~ own. t~idc in. or ~411 t~side in the con'plead stmctu~ ~ ~11 ~ my own ~ ~n~. I ~ ~ I ~t ~s~ ~ a ~ <br /> <br />4. ~ SCI-I~DULE <br />A. <br /> <br />(3) Reinsl~:ction Fee ~ $~.00 <br /> <br />.$ <br /> <br />I hereby certify that the above information is correct. <br />P~rmiLs are non-~ransferrable and expirc if work is not star, ed within 180 days ol' issuance or if work is susp~ndcd for 180 days. <br /> <br />'Phone: <br /> <br /> <br />