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IF~OR C~ITY VALIDATION <br />Zoning Validation: a~/~ff~ <br /> Date: ~/- ~ ~ - O~-- <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT <br /> 285 Church St, NF~ - Room <br /> Salem, Oregon 97301 <br /> <br /> 2d hr. Inspection Linc fi <br /> FAx SSS-79dg ~ <br /> <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 <br /> <br />BUILDING <br /> <br />FOR CITY USE ONLY <br /> <br />1. JOB DESCRIPTION "~D- I /.~ I '-~ -"gu ~qo~.Z/ r <br /> RESIDEN~AL COMMERCIAL U~ure: <br /> ( )Addition ( )Rel~a6on ( )Addition : ( )New ~ <br /> ( )Alteration ( )O~er ( )Alte~tion ,I ( )Sign 7~ ~ <br /> ( ~ccesso~ ( ) Chang~ of Occupancy ( ) Other <br /> <br /> LOCATION OF INSTALLATION <br /> <br />l~opefly Owner <br /> <br />LotWidlh ~$- / Lot Depth ~/ff! , A~a LO, <br /> <br />.S&,F -/ <br /> <br />Spring <br />City <br /> <br />CONTRACTOR INFORMATION -- PLEASE I~DICATE <br /> <br />( ) I mm the PROPERTY OWNER and Own, a~S~d~ in, Or will ~aid~ in the compth: <br /> <br />WHO IS DOING THE WORK <br /> <br /> property owner or cont~acthr, <br /> <br />M" d s ~ j ...... <br /> <br />7// <br /> <br />4. FEE SC~DULE I <br /> <br />(g) Iw~*sfigation'Fee <br /> <br />=$ I <br /> <br />[ hereby certify that the above information is corn:ct, <br />Perm i{$ ace oonqtansferrabl¢ and expire if work is not started within 1 gO days of ~$u~ce oc if w~k ia auap~nded ~or 180 days. <br /> <br /> <br />