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COMPLETE ALL SECTIONS I THROUGH 4 <br /> <br />MARION COUNTY ~UILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Church St, NE - Room 132 <br /> Salem n 97301 <br /> <br />FOR CITY USE ONLY <br /> <br /> FAX <br /> <br />BUILDING <br /> <br />RESIDENTIAL COMMERCIAL. ~alJIg-I)[l¥~ ' '~ ~ :Use of St.mcture':' <br />(~Acce~so~ ( )Ch~geofOee~ncY ( )Other <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />~iling Add~*~ PI:one <br /> <br />4. FEE SCHEDULE <br /> <br />(3) R¢inspeetlon Fee ~ $25,0~ <br /> <br />I hereby certify ~',at tho above information is con'eec <br />Permits a~ non-transferrable; and explm if work js not started within lgO dq7* of issaan~* or if work is suspended for I80 <br /> days, <br /> <br />=$ <br /> <br /> <br />