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I:~0R ~FFICE U_SJ~ ONL~ <br /> <br /> COMPLETE. ALL SECTIONS, 1 THROUGII 4 <br /> 1, Job Description <br /> <br /> MARION COUNTY BUILDING INSPECTION <br /> 220 High Street NE <br /> Salton, OR 97301 <br /> g;00~un-4:30p~l Phone 588-5147 <br /> Codo-A-Phon~ $gg-7904 <br /> FAX 588.794g <br /> <br />ONE & TWO FAMILY DWELLING- PERMIT APPLICATION <br /> <br />( ) New Single Family Dwelling w/g~age <br />(~) New Single Family Dwelling w/o garage <br /> <br />( ) Garage, attached <br />( ) Garage, del~hecl <br /> <br />%wnsliip Range <br />Lot Depth Acres <br /> ,,, z/? <br /> <br />Irteg. Lot <br /> <br /> Contractor Information <br /> <br />(~ I ow~, reside in, or will r~aide in the complied s~ure, <br /> <br />Map <br /> <br />Water Supply: <br />PrlvateW¢ll ( ) Spring <br />Communliy Well ( ) (?ity <br /> <br />Contractor l%*i.o~.~ namo & #: ] Mailing ^ddre~a: I ~hone; <br /> <br />4. Fee Schedule <br /> <br />A. New One-and-Two Iaan/ily Dwc~lling Codo <br /> (illleude-q El, Me, PI) <br /> <br />(t) GrcxqsSI Ft,/..~'~J xS.2S <br /> <br />(2) 5% State Suraharg¢ 605 lAD <br /> <br />(3) I~it~l Review <br /> <br />(4) 7~nlng Surcha~e ($I5 ifapplleabl~) <br /> <br />Vttlu.atloix: Sd~f~//)dO O) Ddw~ w/o~b <br /> (2) Driveway win crab <br />= ~ (3) Additional Plan ~views or Add,ndunm <br /> <br /> (5) Rcins~cfion Fee ~ $25.~ = - ...... <br /> a~cmei' :_~.~ ~_ _ ~ $4o ...... <br /> <br />= <br /> <br />= <br /> <br /> hereby certify lhal tl~e above inforllmtioll is correct and ~at I have read and understand ~e Inf~ll~lion N~ce to ~q~rty Owners a~t Conslmefion ReSl~Oll~ibi]iliel on Ilie <br />MC 15-80 Rev. 1/92 <br /> <br /> <br />