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FOR OFF-ICE USE ONLY <br /> <br /> MARION COUNTY BUILDING INSPECTION <br /> 220 H~gh Street NE <br /> Salem, OR 97301 <br /> <br /> 8:00 a.m.-4:30 p.m. Phone 588-5147 <br /> Code,.A. Pho~e 588=7904 L~ ~,~: <br /> FAX 58~-~D48 .,~ <br /> <br />DWELLiNG/STRUCTURAL AND/OR SEPTIC PERMIT APPLICATION <br /> <br />FOR OFFICE USE ONLY <br /> <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 <br /> <br /> RESIDENTIAL COMMERCIAL <br /> [ ]N~wS~w/s~~ [ ~A~ I ~N~w ~ ]Si~ <br /> [ ~NewS~g.~gc [ I~l~ [ ]Ad~n [ ] ~o <br /> <br /> Usc of BuI[~ <br /> <br />2. Looation of Inst~llatlon <br /> <br />4. Septic Information (Check where applicable) <br /> ~ No. ~l~ln~s: Ex~sting No. tk~dmo~! N¢~ las~Uaikm [] <br /> <br />P~r P~ At~ch~ ~ /~ ~ <br /> <br />5. Fee Schedules <br /> <br /> A. New On~-~d-Two !=tinily Dwell~g Code <br /> (includes El, Mc, 91) <br /> <br />Vahmtl~= <br /> <br />Receipt: <br /> <br />Auth. <br /> <br />3, Col3lractor Information <br /> <br /> <br />