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FOR CITY VALIDATION <br /> ~ec~eived By: <br />Zonlng, Validation: <br />Date: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Church St. NE - Room 132 <br /> Salern~ Oregon 97301 <br /> 8:00am..4:3Opm Phone ~8-5147 <br /> 24 hr. Inspection Line $88-7904 <br /> FAX 588-7948 <br /> <br /> BUILDING PERMIT APPLICATION <br /> <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 <br />1. JOB DESCRIPTION <br /> <br />FOR CITY USE ONLY <br /> <br />RESIDENTIAL COMMERCIAL Uae of Su'uctere: <br />( )Addition ( )Reloca~on ( )Addition ( )New <br />( )Alteration :: ~Other ( )Alteration ( )Sign <br /> <br />2. LOCATION OF INSTALLATION <br /> <br />ONTRACTOR INFORMATION w PLEASE INDICATE WHO IS DOING THE WORK ' <br /> <br />Mailing Add.ss <br /> <br />4. FEE SCHEDULE <br /> <br /> =$ <br />TOTAL = $ <br /> <br />all. rely certify that the above information~'r'~ct. <br />~,, ~ n~-,-~,,~,~,, ~ ~, y,~f~ w,~n lSOdayaofi~uatlceotifworkissusp~ndedfo£ 180 days. <br /> NameofAppli~t(Ple~nt): / ~/~g/ ~ te~ <br /> <br /> MC 15-73 ~v 1~5 ~. Da~: <br /> <br /> <br />