Laserfiche WebLink
FOR OFFICJ~ USE ONLYI <br />Recciv~ Uy: //2: ~ ~ <br />Zoning Validatiol ,~/~/~: <br />Date: ~-~9~ <br /> <br />COMPLE~ ~L SECTIONS, I THROUOH 4 <br /> <br />1..Job De~ription <br /> <br /> MARION COUNTY BUILDING INSPECTION <br /> 220 High Street NE <br /> Salem, OR 97301 <br /> 8:00mm-4:30pm Phone 588-5147 <br /> COd,~-A-Phon* 588-7904 <br /> FAX 588-7948 <br /> <br />ONE & TWO FAMILY DWELLING PERMIT APPLICATION <br /> <br />( b,~ New Single Family Dwelling w/garage <br />( ) New Single Family Dwelling w/o garage <br /> <br />'I~us~ ( ~ or Ra£tcr ( ) I No. S,orie., / <br /> <br />( b~Garage, attached <br />( ) Garage, detached <br /> <br />FO.Q_R. OFFICE USE ONLY_ <br /> <br />LLell~ft Side'. ~'"/ [ Right Side: ~ / <br /> <br /> jUL 1 5 1990. <br /> <br />IglARION COUNTY <br />BUILDING INSPECTt0N <br /> <br />TDetaehed Garage Height: No. Bedrooms: <br /> <br />Floor: /.~.~ [ Seeood Fie. or: <br /> <br />2. Location of Installalion <br /> <br />Zone ~v~:~ , Map <br />~: ~' Yes Cor~ A/3 <br /> <br />Block <br /> <br />Waler Supply: <br />PrivamWell ( ) Spring <br />Community Well ( ) Cily <br /> <br />3. Contractor Information <br /> <br /> ( ) I own, reside in, c~ will reside in tile ¢onxpleted structure. <br /> <br />~ho is regi.~ter.~w~itl3 ~1}9 ~onat~.~.,ffic.~m...,.ContraetoCs Board, I will immediately notify Marion County of thc name of file ¢ontracor: <br /> ( k~'~am a re..gin~e.md builder OR the au~hori:,~d i'eprosentative of a regismr*d builder. <br /> <br />4. Fee Schedule <br /> <br />A. New One-and-Two Family Dwelling Code <br /> (inlcude~ El, Me, PI) <br /> <br />(1) Drive.way w/curb @ $7,50 <br /> <br />(l) Gro~Sq. FL~'~I"J~' X$,28 <br /> <br />(2) 3% State Surcharge (.05 x Al) <br /> <br />(3) Plan Re.view <br /> <br />= <br /> <br />(2) Driveway w/o curb ~ $17,00 <br /> <br />(3) Additional Plan Review~ or Addendums <br /> <br />(4) Investigation Fee <br /> <br />(5) R,~insgeetion Fee @ $25.00 <br /> <br />(6) Other Insl~ctions not listed above <br /> <br />____x$40= <br /> <br /> <br />