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o i'kc vs . oNt,YI <br /> <br />MARION COUNTY BUILDING INSPECTION <br />220 IIigh Street NE <br /> Salem, OR 97301 <br /> 8:00om-4:3Opm Phone 588-5147 <br /> Code-A-Phone 55g-7904 <br /> FAX 558-7948 <br /> <br />~¥ <br /> <br />COMPLETE Al3. SECTIONS, 1 /" <br />1. Job m,~¢riptlo. <br /> <br />(/New Siogle Family' ' Dwelling' w/gmge <br />( ) New Single Femily Dwelling w/o garage <br /> <br />/Garage, attached <br /> ) Oar~ge, detached ~IA~t~0N ~0UNT¥ <br /> BUILDING INSPECTION <br /> <br /> ; Creds Street <br />Mobile Home P~k S~ce ~ <br /> .... Comm.~,y W~ <br /> <br />3. Contractor Information x~r ~'/////g/~-d Le,~..4,/ 2) t$Ct, p ~L~ <br /> <br /> ( ) I own, reslde in, <x will reside in the completed slmctm'~. <br /> ( t-~"~uunde~stand that I mint register as ~ construction ¢ontrgctof if lhg structure i~ zold or o~ered for sale b~fote or upon completion. <br /> ( i~'l'~ill be my own general contractor, <br /> <br />If I hire subcontractors~ I will hire only SubConttaxxot$ regist~rg<l with the Construction Contractors Board, If I chang* my mind and do hire a general contradlOr <br />who is registered with the Con~truclion Co tractor s Board. I will immediately notify Marion County of thc name of file <br /> <br />..4_. ~Fee Schedule <br /> A, New One-ami-Two Family Dwelling Code <br /> ~ (inlcude~ El. Me, PI) <br /> <br /> (I) Gro~s Sq. Ft. ~//x $,28 <br /> (2) 5% State Surcharge ¢05 xAl) <br /> <br /> (3) Plan Review <br /> <br /> (4) Zoning Sureharg~ ($15 if applicable) <br /> <br /> (I) Driveway w/curb O~ $7,50 <br /> <br /> (2) Driwway w/o curb ~ $17.00 <br /> <br /> O) Additional Plan Reviews or Addendums <br /> <br /> (4) Inv*stigatioa ]Fee <br /> <br /> (5) Relnspeetion Fcc @ $25,00 <br /> <br /> (6) Oilmr Inspections not listed above <br /> <br />R:mm': <br /> <br />x $40 = __ <br /> <br /> Ir 2 ivee.r:.,bcY.q ~ t i6 f~, ~ }: tf Ileal em~ b o v e illIomlation is correct a~d that i have read and understami the Information Notice to Property Owners abo~lt ConsLmctlon l¢,e.qmnlibililles on the <br /> <br /> ..... ~..- . · · ~ . ' ,o,C.,m . ',h, oa . <br />MC 15-g0 Roy. Ih)2 <br /> <br /> <br />