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F4~R CITY VALIDATION MARION COUNTY BUILDING INSPECTION I FOR CITY USE ONLY <br />Recei.ved By: COMMD~TY DEVELOPMENT CENTER <br /> <br /> -- -- _ 285 Church St, NE - Room 132 <br /> <br />_Zonin..validation: ~ Sa!e~t, Oregon ~'/3q! · <br /> <br />[Date: :. "': : ' ~, ~4bg;ln~bn tC~373"4427 ~ [L~ttSa ]Rigl~tSide. <br /> rAXSS8-7948 I I ' , <br />· - ~ ONE & TWO FAMILy DWELL!NG pERMIT APpLICAT!~ <br />COMPLETE ALL SE¢ d i i n <br />1. JOB DESCRIPTION <br /> <br />Ne~ Single.~Fgmity Dwelling With AtCechi:d Garage <br />~Iew s~hgl~ I~mily Dv/elling With Deta~h~A Garag~ <br />New Duplex <br /> <br />MARION COUNYY <br />8t/ILDING INSPECTION <br /> <br />2 LOCA~TION, OF INSTALLATION ' : , ' c~.~ I <br /> <br /> ' ]' [ I r ] I '; Pfi~Well ( ) Spring <br /> <br /> ( ) ~ am ~ cON~c~0R rcgis~d Wi~ ~e Sta~c 0f Orog~ <br /> <br />( ) I nm an AUTHORIZED REPRESENTAT1V~ o f the propet~ owner or conffa¢~or, <br /> <br />Nhme <br /> <br />Mailing Address Phone <br /> <br />4. FEE SCHEDULE <br /> <br /> VALUATION, Based on squar~ footage: <br /> Gross gq Ft ~ ~ 64,66 ~ <br /> Garag~gqff t'~'~O x t6.27 <br /> TOTALS: <br />' A. L e~RMW <br /> Gross Sq Ft x $~345/sq ff <br /> * Building - ~ .lg5 pe~ sq fl <br /> Electrical ~ .068 per sqi <br /> Meehsnlcal ~ .02Z p~r sq h <br /> plumbing ~ 070 per sq ft <br /> TOTAL $.345 PER. SQ Fl' <br /> <br /> !. PLAN P. EVIgW FEE: <br /> Oroa sq rt ~ × $.12/sq ft <br /> <br />$ <br />$ <br />$ <br /> <br />B. PERMIT FEES <br /> permit Fee (A-I) <br /> Smt~ Surcharge (5% of A- 1 ) <br /> plan Review Fee (A-2) <br /> <br /> , Zoning Su~hatga ($20.00 if applicable) <br /> Investigation F~e (5.345 per sq <br /> <br />~$ <br /> <br />~$ <br /> <br />~$ <br /> <br />Dwelling labels must be obtained at Marion County Building Inspection and must be placed at the jobsite prior to Inspection for pb!mblng, electrical and <br />mechanical work. Contact Marion County for instructions. <br /> <br />I hereby certify that the abovu information is correct, permits are non-transferrable and expire if work is not star~ed within 180 days of issuance or if work is suspended for <br /> <br />Name of Applicant (Please Print}: Phone: <br />$ignatureo£Applicant: (~; ~~ Date: ~ -/'~ -q'"] <br />MC 15-80 Rev 1/96 <br /> <br /> <br />