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FOR OFFICE USE ONLY <br />Zoning Validation: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> 220 High Street NE <br /> Salem, OR 97301 <br /> <br /> 8:00am - 4:30pm Phone 558-5147 <br /> Code-A-Phone 588-7904 <br /> FAX 588-7948 <br /> BUILDING PERMIT APPLICATION <br /> <br />COMPLET~ ALL SECTIONS, 1 TH~,OUGH 4 <br />L .lob Descrlpfiom <br /> <br />rC~.F~n~OR OFFICE USE ONLY I <br /> Left Side: R ght ~ide: ...... <br /> <br />RESIDENTIAL COMuMERCIAL ( )New Use of Structure: <br />() Addition ()Relocation ( )Addltlon ()Sign <br />( ) Alteration ( )Demolitic. m ( )Alteration ( )Demolition <br />(~) Accessory ()Other ( )ChangeofOeeupancy ( )Other <br /> <br />2. Location of ~nstallafion <br /> <br />Fee Schedule <br /> <br />A. VALUATION (See "Valuation Schedule" <br /> <br /> ~q~ave footage.) <br /> <br /> (1) Pc,ink Pe~ <br /> ~) fi% $~te Surcha~ 605 x Al) <br /> (~) Stmct0ml Ban Review (.~% x Al) <br /> <br /> (4) Fire & fife Safety lqan Review (,~% x Al) <br /> (5) 7mm~ Sutcha~e. if applicable (.05% x Al) <br /> <br />Valuation: <br /> <br />B, Miscafllaneous <br /> <br /> (l) Dxiv~way w/curb @ $7.50 <br /> <br /> (2) Diiveway w/o curb @ $17,00 <br /> <br /> (q) Si~e Pla~ Renew (c~met~al ~ly) ~ <br /> <br /> ¢0 Addifi~al Plea Re~ew~ or Addcmdums <br /> O) ln~sfigafi~ Fee <br /> ¢~) R~s~cfion Fee~ $25.00 <br /> (7) ~er bakeries not ~smd abow <br />REC~; <br /> <br />TOTAL $ <br /> <br />MC 15-73 Rev. 11/91 <br /> <br /> <br />