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COMMUNrFY DEVELOPMENT CENTER <br /> Church $t NE · Room 1~2 <br /> Salem, OR 973O1 <br /> <br />~4 Hr In~ Lin~ ~88-7g04 <br />~ ~88-~147 8:00a~u.-400p.m. <br />FAX: ~88-7948 <br /> <br />COUNTY BUILDING IHSPECTION <br /> M~RMIT NO: <br /> <br /> Date: <br /> <br /> Issued by: <br /> <br />Please ~omplete all &~ctions, I through <br /> <br />CONTRACTOR ]INSTALLATION ONLY <br /> <br />~ I~OR OWNIW. INaT~TJL~TIOI~g <br /> <br /> esmnm co cZAL <br /> <br />~ OF ~-KUCTUR~ ~ <br />NLqN'Q ALTBRAT[ON~"ADDmONQ RELOCATIONQ <br /> <br />~,'d, (e~eh <br /> <br />$io~b Fmily m. multL-family per <br /> <br /> Nsw amdn~ion $10.00 <br /> ,A~ $10.00 <br /> P---~-,,,~,. ~ S 5.00 <br /> <br />F~t 1~0 ~ or ft~llon ~f <br />Fnciddnl' 1~0 ~ (up ,,o ' <br />maximum of.~O IL) $15,.00 <br /> <br />~.4umt~'~qj, (~eh fixtu~) <br /> <br />New con~.m~lian $10~0 <br />,A~,Os_ ~ $10.00 <br />R~ome~t $lO.OO <br /> <br />W~ Lin~ <br /> F~m lo0 IL or f~ma~mf <br /> Fac #. agdnJ' 10Q ~c (up w <br /> ma-~.~.~ of~0 ft.} <br /> <br />PRO'f~rIv~ BAC~I~.OW DEVICE <br /> <br />$4.50 <br /> <br />DW~LLIN~ i~i~IT LABRL IoflJb~ <br /> <br />PLAN RBVlI~ SlICTION <br /> <br />Marion County does no~ requit~ a plan review. <br />We will provide plan ~-,view service ifyou complete <br />Sec~on 5B and submit two (2) sets of plans and <br />specifications with tides epplicetioa. <br /> <br />/~/5-45 <br /> <br /> <br />