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IF,OR OFF, IC~ ~JSE ONLY[ <br /> <br />MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT C~NTER <br />285 Chinch St. N~ - P,~om 132 <br /> Sale~l, Ol~gon 97301 <br /> t1:00~a - 4!30pm Phon~ 588-5147 <br /> C:.¢~.A.Phon~ S88-7904 <br /> FAX 5118-7948 <br /> BUILDLNG PERMIT APPLICATION <br /> <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 <br />I..lob Description <br /> <br />2. Location of Installation <br /> <br />MobRe I4~e Pa~ S~ce ~ <br /> Com~uMtyW~( ) City (~ <br /> <br />3, Contractor Information <br /> <br /> own, r~side in, or will reside in the completed <br />I understand that I must re/~ster as a eonsWacti~ contractor ff the structure i$ sold or offored for sale be2ore or upon O~nplefion. <br />will be my own g~eral eonwactor, <br /> <br />ii I hire subcontuactors. I will him only subcontractors registered wi~h the ConstmoJon C~ntractors BeaM. If I change my mind and do hire a genera] ¢onzractor. I will COntract <br />with a ¢omra~tor who is I~giste.~d wlth~ Constmotkm Coatraotofs BeaM, and will ~exiiately ~loti~ Marion C~mnty of the name of the contractor, <br /> <br />Comractor guaingss tlame& #: ] Mailing Addi~sg {Phoa¢; <br /> <br /> ( ) I aca a l'egiste~d buildcr OR the authorlz~d t~p~sental~ve of a r~gigtemd hoild~r, <br />Architect name: [ Mailing Add,ss: <br /> <br />Phone: <br /> <br />Fee Schedule <br /> <br />A. VALUATION (See "Valuation Schedule" <br /> to deteefaine valuation based c~ <br /> square footage.) <br /> (l) Ponn{t per, <br /> <br /> (2) 5~ State Sutehaqge (.05 x Al) <br /> <br /> (3) $1t0¢tUrltl PLan Review (,65qo x A 1 ) <br /> <br /> (4) Fire & Lif~ Safety Plan P, evi~w (.40% x Al) <br /> <br />B. Miscellaneous Fees <br /> (1) Driveway w/eueo @ $7.50 <br /> <br /> (2) Driveway W/O curb @ $17,00 <br /> <br /> (4) Addi~ ~n ~ews or Add~d~s <br /> <br /> (5) ~sfiga6~ Fee <br /> <br /> (6) ~Ms~ F~ ~ $25,00 <br /> <br /> U) ~er ~s~c~ot lis~d a~ <br />~C~ 7~5 . TOTAL <br /> <br /> <br />