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~$FERABLE AND EXPIRE IF WORK <br />]lS NOT STA~{'~D W1T.~IN ~80 DAYS OF I$$UANCIg OR IF <br />~ENDED FOR 180 DAY& <br /> <br />CONTRACTOR INFORMATION <br /> <br />~'truCture ~ ~old or offered for eale before or upon completion_ <br />hir¢ $,ub~tractor~, I will hJn~ only .~ubcontractors regi~ternd with <br />tht Conllr~'on Contractors Board. If I change my mind and do <br />hlgg a get~tral contractor who it r~gittered with the Con~tru~ti~ <br />Contractor* Board, I will immedlat~ly not~y MaCon County of the <br />n~me of tl~ contra~lor, <br /> <br />PLAN REVIEW SECTION <br /> <br /> MARION COUNTY BUILDING INSPECTION <br /> 3150 Lancaster Dr. lq~ - Suite C <br /> Salem, Oregon 97305 <br /> 8:00am - 4:30pm 24 HR Inspection Line 37%4427 FAX 588-7948 <br /> <br /> NtLmber c~ [u~pectlon$ per p~tm! aIlowed <br />i:i,~ '~ A. R~id~ni/a{ per Unlt Sm'~ Inc{u~d~ <br /> <br />__ x $110.00~$ 4 <br /> x $20,00=$__ <br /> <br />~ x $52.00=$__2 <br /> <br />$. FEES Al. Ente~ total of fees from Sec, #4 <br /> A2, Add State Surcharge (.0~% x Al) <br /> <br />SIJ~TOTAL <br /> <br />B, Eu~r 30% of linu Al for Plan Re~qew <br />C. Inv¢~gadon Fee 0I req~d) <br /> <br />g. ~dJfion~ p~ Review ~2.5~, ~nimum o~-h~f ho~) <br /> <br /> (~2.5~, ~mm ~ <br />O, lm~fion Ou~ide No~ Busin~ HO~, <br /> ($~.50a~, =mmm ~u horn) <br />H. ~dus~ P~t ($62.5~) <br /> <br />TOTAL AMOUNT DUE <br /> <br />$__ <br />$ <br />$ <br />$ <br /> <br />$ <br />$ <br /> <br /> <br />