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MARION COUNTY BUILDING INSPECTION <br /> 220 Itigh Street NE <br /> Salem, OR 97301 <br /> 8:00am-4~30pm Phone 588-5t47 <br /> Coda. A-Phone 5811-7904 <br /> FAX 588-7948 <br /> <br />COMPLETEALL SECTIONS, 1 TIIROUGH 4 <br />1. Job ~scrlption <br /> ( ~New Single F~ity Dwelling w/gauge ( ~age, a~c~ea <br /> ( ) New Single Family Dwelling w/o g~age ( ) G~age, ~hed <br /> <br />Tmss(g..4."~'or Ratter( ) [ No, Stories / [DetachedGaragel'teightt <br /> <br />No, Bedroorc~: ~ <br />adler: <br /> <br />2. Location of Installation <br /> <br />3. Contractor Information <br /> <br /> (') I under~tand d~at I must ~gJ,~ter as a constm~on contxaet~ if ~e stmctme is sold or offered for sale ~e or u~n comple~Sn, <br /> <br /> ( ) I will be my own general contractor, <br /> <br /> If I hire subcontractor& [ will hire only subeomractors registered with the Construction Conlr~tots Board. If I change my mind and do hire a general contrack¥ <br /> who is registered wah fl~a Constructlo~ Co ~-ac or s Board, I w'll i nrne&a ely notify M ~tion Coun y of tlxe name of fl~e con raeor: <br /> <br />~'r~gi~la~ed builde~ OR the amhorited mlx~enta6ve of e r~iale~ed builder. <br /> <br />4. Fee Schedule <br />A. New One-and-Two Family Dwelling <br /> <br />(2) 5% State Surchlage (.05 <br /> <br />(7) Plan Review <br /> <br />(4) ,~iiarge <br /> <br />= ~$155,00 <br /> <br />= o q. qk3 <br /> <br />(t) Driveway w/~b ~ $?,50 <br />(2) Driveway w/o curb @ $17,00 <br />(~) Additional ~n ~v~ews or Addendu~ ~ ...... <br /> <br />(5) Reins~cfion Fca ~ $25.~ <br />(6) Other Ins~cflons not lis~d ~ove <br /> <br /> <br />