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IzFOR CITy VALIDATION <br /> <br /> F, eceiw.:d By: ~~_; <br /> oniag Va da:toE: e/r/~}' <br /> Date: J' ~ -q~ <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Church St. NE - Room 132 <br /> Salem, Oregon 97301 <br /> 8:00am-4:$0pm Phone $88-$147 <br /> 24 hr, lmpection Linc 588-7904 <br /> I~AX 58g-7948 <br /> <br />t FOuR CIT~Y USE ON_ L~Y <br /> <br /> ONE & TWO FAMILY DWELLING PERMIT APPLICATION <br /> <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 {'")q5 - IOI QPO <br />i. DESCRI .ON CI< - I 0-1 q q <br /> <br />(~) Nitw Single Family Dwetling With Attached Garage <br />( ) New Single. Family Dwelling With Detached Garage <br />( ) New DupD. x <br /> <br />2. LOCATION OF INSTALLATION <br /> <br />Zone ~ ~ Map I W~t*r Supply: <br /> , Corner pfivam Well <br />I~*g. Lot ~ Community Welt <br /> <br />Spring <br />City <br /> <br />CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />_~//Z'd-/t¢/¢4 t'~t ~"1~'~?*~¢, . (ple~.'~pdaO .. <br /> <br />4¢Z- c0,9o"-q <br /> <br />4. FEE SCHEDULE <br /> <br /> VALUATION: <br />A- 1, PERMIT Fgg: <br /> * Building ~ .17~per sq ff <br /> <br /> Plumbing ~ .0630 per sq ft <br /> <br /> TOTAL $.315 PER SQ ~ <br /> <br />Dwelling Iai}elS must be obtained at Marion COtlnty Building Inspeetloll and must be placed at the jobsite prior tO inspection for plambing, electrical and <br />n eehaaieal work. Contact Marion County for instructions, <br /> <br /> <br />