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rlo?o <br /> <br />] CITY VALIDATION I <br /> <br />Zonirtg Validation: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Church St. NE - Room 132 <br /> Salean, Oregon 97301 <br /> 8:00am-4:30pm Phone 588-5147 <br /> 24 hr. Inspection Line 373-4427 <br /> FAX $88-7945 <br /> <br /> FOR CITY USE ONLY <br /> <br />City Sclba~k P.~!uir~c, cnt s: <br /> <br />LeftSide: J~ / Rightgide:,5~ / <br /> <br /> ONE& TWO FAMILY DW~'~~ON <br /> lll <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 J I~"- -'~ <br />I.,O.,,ESC, .ON -- Ar,,-6 -- <br /> (K)NewSingl=Far'ailyDwollingWithAtta~hedGarage MARION COUNTY <br /> ( ) New Single Family Dw¢lling With Detached Oarage BUILDING INSPECTION <br /> ( ) New l~plex <br /> <br />[ Mailing Address ~..y ~#~. ',~ZSd'~i <br /> <br />Lot /~ Bilk ~ <br /> <br /> ~vate Well ( ) <br /> C~er ~iW Well ( ) <br /> <br />Spring <br />City <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br /> ( ) I am the PROPERTY OWNER and own, r~ide in, or Will reside in tho complmted structur~ and will he my own general contractor. I understand that I must register ~s a construction <br /> ~ontra~tor if th~ smmmre is sold or ottln~d for sale before or upon completion. If I hire subcomractog, I will hire only subcontractors mgistm~d with the Construction Contractors Board. <br /> If I change my mind and do hire a gmara'Al conh'aetar who is regist~d with the Construction Conlractota Board, I will immediately notify Marion County of the name of the conltactor. <br /> <br /> () <br /> <br />am an AUTHORIZgD REpReSENTATIVE o~tlm property own~ o~ conlta~thn <br /> <br />Mailing Addross Phone <br /> <br />4. FEE SCHEDULE <br /> <br />VALUATION - Basnd on ~lua~ footage: <br /> Gros~ Sq Ft /[~ x 64.66 <br /> Crarage Sq B ~/c ff/_. x 16.27 <br /> <br /> 1. PERMIT FEE: <br /> <br /> B. PERMIT FEES <br /> <br />I 2. s~ s~g~(~% o~A-1) <br />3. plan Review F~ (A-2) <br /> <br /> TOTAL <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. Cnntact Marion County for instructions. <br /> <br />I hereby certify that file above information is correct. Permits are non-lransferrablc and expire if work is not started within 180 days of issuance or if work is suspended for <br />180 days. <br /> <br /> <br />