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FOR,CI.~TY VALIDATION MARION COUNTY BUILDING INSPECTION I FOR CITY USE'ONLY <br /> Rec*e~ed BY: '~' (~ I COMMUNITY DEVELOPMENT CE~FfiER I <br /> 285 Church St. NE - Room 132 [CityS~backR~q~r~r~: <br /> Zoning Vali~lafion: ~ [ Salem, Oregon 97301 , <br /> <br />CO1VIPT.~TJ~ALLSF. CI~ON,~ 1 THROUGH4 "l~'L~MAR 2 T1997 <br />i. joB D scz nON CA-I-(bi q <br /> <br />~.SSmSmnAL CO~mmaAL uM~OUNTY <br />( A~fion ()Ret~a.on ( )~dm.o. ( )N~w BUILDING INSPECTION <br />( )AI~ ( )~ ( )~afion ( )Sign <br /> <br />LOCATION OF INSTALLATION <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />4. FEE SCHEDULE <br /> <br />(I) Pormit Fe~ <br /> <br />(2) 5~ 8~ ~ (.05 ~ Al) <br />(3) ~ ~ Renew (,~ x Al) <br /> <br />(~ ~ s~ <br /> <br />6~.~o <br /> <br />(4) O&er htspecfiom noHisted above <br /> <br />=$ <br /> <br />~s~ <br /> <br />I hereby c~fify that the above information is correct. <br />Permits are no~-traa~ferrable and expi~ if work is not started within 180 days of issuance or if work is suspended for 180 days. <br /> <br /> <br />