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FOIl CITY VALIDATION <br /> <br />Zoning Validation; ~,,," o-/ff~ ,,-- <br />Dat~; /o7-/O--q.% <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br />COMPLETE ALL SECTIONS, I THROUGH 4. <br /> 1. JOB DESCRIPTION <br /> <br />Replacement <br />Additional Unit Add-on <br /> <br />Type of Siding: <br /> <br />( ) Metal <br />( ) ¥inyl <br /> <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Church St, NE - RoOeO 132 <br /> Saleln, Oregon 9730 I <br /> 8:~am-4:3Opm Phone $88-514'/ <br /> 24 HR Inspection Line 588-7904 <br /> FAX 588-7948 <br /> <br /> MAN' <br /> PERMIT APPLICATION <br /> <br /> Oara~ or Ca~o~X <br /> ( ~ Attached <br /> ( ) Detached <br /> <br />Year of NO, of <br />~,,.f~.,= /qqS <br /> <br />Type of <br /> <br />( )$teel Pit Set <br /> <br />LOCATION OF INSTALLATION <br /> <br />FOR CITY USE ONLY <br /> <br />DEC 19 lg~5 <br /> <br /> MARION COUNTY <br />BUILDING INSPECTION <br /> <br />Length Widt~ <br /> 7 <br /> <br />Square Footage: /~t¢O No. of'Bedrooms: <br /> Energy; <br /> <br />Mailing <br /> <br />q <br /> <br />Wiger Supp y: ( L.~ wxte We ) Community Well ( ) City <br /> <br />3. CONTRACTOR INFORMATION ~ PLEASE INDICATE WHO IS DOING TFIE WORK <br /> <br />4. FEE SCHEDULE <br /> <br />$60,00 = <br /> <br />__ o,,:,,: 12,' ce,v_ <br /> <br /> <br />