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IVOR CITy VALIDATION] <br />¢¢eived By: __ ] <br />IZoning Validation: [ <br /> <br />COMPLETE ALL SECTIONS, I THROUGH <br /> !. JOB DESCRIPTION <br /> <br /> New Placement <br /> <br /> ( ) AdditionalUnit Add-on <br /> <br /> Dealers <br /> <br /> Type. of Siding: <br /> ( ) Wood <br /> (~) Metal <br />[£ v ny <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Church St. NE - Room I32 <br /> Salem, Oregon) 97301 <br /> 8:00am-4:30pm Phone 588-5147 <br /> 24 HR Inspection Line 588-7904 <br /> FAX 588-7948 <br /> <br /> MANUFACTURED DWELLING <br /> PERMIT APPLICATION <br /> <br />Type of Roofing: <br />(,)q~ Comp <br />( ) Steel <br />( ) Metal <br /> <br />I FOR CITY USE ONLY <br /> <br />IZ.'n Zi <br /> <br />Garage or Carport <br /> <br />( )oet~h°d <br />No. of Length <br />Sections ~ .... <br />Sq are Foo age ~ ~ No f Bedrooms' <br />P't Set: Energy: <br /> <br />Width <br /> <br />2. LOCATION OF INSTALLATION <br /> <br />J lib A0drl~'~'q qq53 <br />[";~;;';i,, Porve. r ~,d <br />' · 5 *me Pl,rk Name: ~'J/l~ <br /> <br />Pllopor ty Owner; <br /> <br /> I[l:'[la~l GrOwlh Boundary? ( ) Ye~ ( ) No Water Supply: (.~ Private Well ( ) Commungy Well ( ) City <br /> <br />3. CONTRACTOR INFORMATION -- PLEASEiINDICATE WHO IS DOING THE WORK <br />t am ttm PROPERTY OWNER and own. x~ide in, 0r will m*ide in the <br /> be <br />4. FEE SCItEDULE <br /> <br />TGTAL <br /> <br />$60.00 = <br /> <br /> <br />