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FOR CITY VALIDATION <br />IRec. e~ved 6y,:' __ <br />IZo~ing Validation: <br />~Date: <br /> <br />COMPLETE ALL SECTIONS, I THROUGH 4 <br /> <br /> 1. JOB DESCRIPTION <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DE, VI~LOPMF~NT CENTER <br /> 285 Church St. NE · Room 132 <br /> Salem. Oregon 97301 <br /> 8:00am.4:30pm Phone 585.5147 <br /> 24 HR Inspeetlon Line 588-7904 <br /> FAX 588-7948 <br /> <br /> MANUFACTURED DWELLING <br /> PERMIT APPLICATION <br /> <br />FOR C_!I_TX USE ._ONLY <br /> <br />( )~,.~ Place,t/chi Garage or Ca/p'ort" <br />/~ Rel)htccl/~etlt ( ) Attached <br />) Additkmal Unit Add-on ( ) Douched <br />'rypeof ding: Typ¢o' ootlng: <br />~3 (~; Square Footage: ]3~ No. ofBedrooms: S .... <br />Metal ( ) Steel Pit Set: <br /> Vh~yl ( )Metal I ~ ~ <br /> <br />LOCATION OF INSTALLATION <br /> <br />Water Supply: ( ) Private Well <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />City <br /> <br />4. FEE SCHEDULE <br /> <br />TOTAl, <br /> <br /> <br />