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FOR CITY VALIDATION <br />Received By: <br /> <br />~Zoning Valic~tion:~ __ <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Church St. NE - Room 132 <br /> Salem. Oregon 97301 <br /> 8100am-4:30pm Phone 588-S147 <br /> 24 hr. Inspection Line 588-7904 <br /> FAX 588-7948 <br /> <br />FOR CITY USE ONLY <br /> <br />ONE & TWO FAMILY DWELLLNG PERMIT APPLICATION <br /> *Includes electrical,, mechanieal~ plumbing fees <br /> <br /> JUL 2 6 995 <br /> <br />( ) New Single Fa~llily Dwelling With Attached G~age <br /> <br />(~) New Single Family Dwelling With Detached G~rage <br /> MARION COUNTY <br />( ) New Duplex RI III D]lxlG II',le, P~zf'JlrlNl <br /> <br />2. LOCATION OF INSTALLATION ' ~¢~% <br /> <br /> "' : Comer Cdvate Well ( ) Spring <br /> <br />3. CONT~CTOR INFORMATION ~ PLEASE iNDICATE WHO 1~ DOING T~ WORK <br /> <br />( ) <br /> <br />4. FEE SCHEDULE <br /> <br />VALUATION: <br /> <br /> 1. FERMIT FEE: <br /> <br /> * Building (~ .1700 per sq ft <br /> Electrical ~ .0600 per sq ft <br /> Meshanlcal 6~ .0200 per ~q ft <br /> Plumbing r~ ,0650 p~r sq fl <br /> <br /> TOTAL $31 ~ PER SQ FT <br /> <br />x 64,66 ~ $ <br /> <br /> 2, PLAN REVIEW FEEt <br /> <br />Dwelling labels must be obtained at Marion County Building Inspection and must be placed at the <br />mechanical work. Contact Marion County for instlmcfions, <br /> <br />~lgnatureofAppIicant: ___~~....~<~ ~. Date: <br /> <br />PERMIT FEES <br /> <br /> <br />