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F~)R~CJ~' VALIDATION I MARION COUNTY BUILDING INSPECTION FO.__~R CITY USE ONLY <br /> <br />Zoning Validation: ~t 8:00am-4:30pmSalem' /o ' <br /> ~NOFACT~D ~E6~ ~ "' -- <br /> <br /> Additional Unit Add-on I ) ~tach~ tl~' /~ ~DP~ ~ <br /> ~' ct,hO~ <br />~1~ ~ ~ Ye~ of No of ~ng~ Wid~ <br /> <br /> ~0 Si&g: Ty~( ~omp°f R~fi~g: Squ~e F~tage: J~ O~ No of B~r~ms: ~ <br /> Met~ ( ) Steel Pit Sec Energy: <br /> <br />2. LOCATION OF INSTALLATION <br /> <br />S~tion: 3~ Township: ~ R.~: ~ ~ ~oc ~ Map: <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />4. FEE SC~D~E <br /> <br />I hereby cerlib7 that the above information is correct PermiLs are non-transferrable and expire if work is not starled within 180 days of issuance <br />or if work is suspended for 180 days. <br /> <br />SIGNATURE OF APPLICANT: ~ <br /> <br />MC 15-64 R~v3/95 <br /> <br />PHONE: <br /> <br />DATE: <br /> <br /> <br />