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I"FOR CITY VALIDATION MARION COUNTY BUILDING INSPECTION I 'FOR CITY USE ONI.Y <br /> 285 Church St. NE- Roo,n 132 fl..) .Q~ q~'lcity Sct~ I~..iT¢~.t~: <br />*[Zoning V~didation: ~'/ff-~5 Sa~cm, Oregon 97301 ~. t~ ~,~" ,~ I , '~~ <br /> <br /> I. JOB DESCRIPTION DEC } ~ ~SS5 ~d~ <br /> <br />Placement <br /> <br />Type of Siding: <br />( ~"Wood <br /> ) Metal <br /> , ) Vinyl <br /> <br />(. ~ttached <br />( ) Detached <br /> <br /> MAblION COUNTY <br />BUILDING INSPECTION <br /> <br />Year of NO. of Width <br />Manufacturer flqq5''~ Sections o~ <br /> Square Footage~ 0 ~ <br /> <br />Type of Roofing: <br />( ~o,np <br />( ) Steel <br />( ) Metal <br /> <br />Length '2T/~ <br /> Energy: <br /> <br />Pit Set: <br /> <br />2. LOCATION OF INSTALLATION <br /> <br />Lot Width: <br /> <br />Water Supply'. ( ) Private well ( ) Comlliu:lity Well <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />4. FEESCHEDULE <br /> <br />I hereby ¢~rtif7 that the above information is corr~ct. Pesmita are non-transt~rrable and expire if' work is not star~cd within 180 dltys of issuance <br />or if work is ~uspended for [80 ~s, <br /> <br />MC I5-(,A Rev3#)5 <br /> <br /> <br />