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FOR ,CITY VALIDATION <br /> <br />Zoning Validation: <br /> <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 <br />1. JOB DESCRIPTION <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Church St. NE - Room 132 <br /> Salem, Oregon 97301 <br /> 8:00am-4:3Opm Phone 588-5147 <br /> 24 hr InspectionI~'~l~f~ ~ C' <br /> FAX $88-7.$~1~..~. l~,; "'~: ~,~ ,:~'~.~ <br /> <br />FOR CITY USE ONLY <br /> <br />RESIDENTIAt. COMMERCIAL <br />Addition ( ) Relocation ( ) Addition <br />~temtion ( ) Other ( ) Alteration ( ) Sign ~"~~' ~' <br />Accessory ( ) Change of Occupancy ( ) Other <br /> <br />2. LOCATION OF INSTALLATION <br /> <br /> ~a~J~,ll& fr& q 7~.~ .............. <br /> &,,.z ............... <br />Section aY TOWnSNp ~ R~g~ ~ Z~,~, , ~ff Map Wamr Su~ly'. <br />~tWidm ,~ / ~tO*Vlh ~ / Ae~ Iueg.~t Co,',mt ~ C0~unityWell ( ) City (~-- <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> ( ) <br /> <br />· ~,.,q-~ ~'- ..... <br /> <br />4. FEE SCHEDULE <br /> <br />on square footage of project,) Valuation; <br /> <br />(2) 5% 8mt~ Snmh~ge (.05 x Al) <br /> <br />(3) Stmeluml Plan Review (.65% x Al)~-- <br /> <br />(1) AdditiOnal Plan Review~ or Addeadums <br /> <br />TOTAL <br /> <br />=$ <br /> <br />=, _.e,~. J¥ <br /> <br />,~¢:~-0/2 7 <br /> <br /> <br />