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MARION COUNTY BUILDING INSPECTION <br /> <br /> FOI~CITY VALIDATION <br /> <br />Zoning'~ralidafion: ~ <br />Date: ~' IO-~ <br /> <br />CO~PL~TE ~ ~O~S, ~ ~OUG~ <br />1. JOB D~C~ON <br /> <br />COMMUNITY DEVELOPMENT CENTER <br />285 Church St. NE - Room 132 <br /> Salem, Oregon 97301 <br /> 8:00nm-4:3~m Phone $~-5~47 <br /> <br />2. LOCATION OF.INSTALLATION <br /> <br /> 0 <br />Subdivision ~ Block <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />4. FEE SCIIEDULE <br /> <br />A. VALUATION (~ "Valualion $chadule" to d~m~iae valuadon basoi <br /> <br />(1) Permit Fee <br /> <br />('2) 5~ Stat~ $orcharg~ (.0~ z A I) <br /> <br />(3) Stractural Plan Review <br /> <br /> ID. lO <br />-- t___~k~. <br /> <br />(2) lav~isaion F~ <br /> <br />I he.by certify that the abo~llffim~tio~c ./~ 0 <br />Permlts tm n°n''sfen'ablR~r~ n°{~d~' °r if w°rk "suspended f°r 180 d'Ys. <br /> <br />.$ <br /> <br /> <br />