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{Received ~y: ~ <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEYELOPMENT CENTER <br /> 285 Chuech St. NE - Room 132 <br /> Salem, Ot~gon 97301 <br /> <br />24 hr. <br /> <br />t so ~ US~E ONLY_ <br /> :t,. /0' IR~''~ 1o' <br /> <br />COMPLETE ALL SECTIONS, I THROUGH 4 <br />L JOB DESCRIPTION <br /> <br />RESIDENTIAL COMM~CIAL ' ' <br /> <br /> ( ) Addition ( ) Relocation ( ) Addition ! , ( ) Now <br /> ( ) Alteration ( ) Other ( ) Alteration ', ( ) Sign [ ~X Z ~ qL <br /> ( ~'~¢e~sor~ ( ) Change of O~?~an~y ( ) Other <br /> <br />3. CONTRACTOR INFORMATION ~ PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />( ) <br /> <br />4. FEE SCHEDULE <br /> <br />Phon~ <br /> <br />(1) ~n'nlt Fee '~' ~: (2) Investigation Fee <br />(4)Fire&LffcSategyPlattRev~,,v(,40%~,.&t) ~ ~'~ & ~' TOTAL mS .~2 , ~_~ <br /> <br /> <br />