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F~OR CITY VALIDATION <br />R~ceived By: ~ <br />Zoning Validation: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Church St. NE - Room 132 <br /> Salem, Oregon 97301 <br /> 8:00am-4:30pm Phone 588-5147 <br /> 24 hr. Inspection Line 3734427 <br /> FAX 588-7948 <br /> <br />FOuR CITY USE ONLY <br /> <br />COMPLETE ALL SECTIONS, ITHROUGH4 ~ _ 1111 <br />1. JOBDESC--TION y? ?.? <br /> ~)New Single Family Dwelling With A~ached Garage <br /> ( ) Sew Single Family Dwelling With Detached Gamge M^RION COUNTY <br /> ( )NewDuplex BUILDING INSPECTION <br /> <br />2. LOCATION OF ~ST~LATION <br /> <br />I Dsta~hed Garage Height: <br /> <br />No. B~ooms: ~ <br /> <br />Mailing Address ~/a~---~ r Phone No. <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> () <br /> <br />() <br /> <br />MaiLing Addr~s <br /> <br />4. FEE SCHEDULE <br /> <br />B. PER1WIT ]~ES <br /> <br />2. State Sttmharge (5% of A-l) = $ <br />3. P~. Review F~ (A-Z) =$ <br /> I <br />5. Investigation Fee ($.345 ~ sq ffi = $ <br /> <br />Dwelling labels must be obtained at Marion County Building Inspection and must be placed at the jobsite prior to inspection for plumbing, electrical and <br />mechanical work. Contact Marion County for instructions. <br /> <br />I hereby certify that the above information is correct, Permits are non-transferrable and expire if work is not started within 180 days of issuance or if work is suspended for <br /> <br />MC 15-80 Rev 1/96 ~ ~' ~: <br /> <br /> <br />