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FOR CITY USE ONLY <br />Reeve{red By. Date: <br />Zoning By: Cily: <br /> <br />MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br />3150 Lancaster Dr. NE - Suite C. Salem. Oregon 97305 <br />8.00 am -4:30 pm <br />24 hr lv~ecti~ Line 3734427 FAX 58g-7948 <br /> <br />I. LOCATION OF INSTALLATION <br /> <br />Mailing Address: <br />City: State: Zip: <br />Pl~one: Fax: <br /> <br />I am the PROPERTY 0 WNER and own, reside in, or will reside in the <br />completed structure and will be my own general contractor. I understand <br /> <br />offered for sale before or upon completion, lf I hire subcontractors, I will <br />hire On~ subcontractors regtstergd with the Consttt~ctton Contrac$ors Board. <br />[fl change my mind and do hire a general contractor who i~ registered with <br />the Construction Contractors Board I wdl immediatetv noti~. Mar~on County <br />of the name of the con~ractor: <br /> <br />Owner's Signature: <br /> <br />Agent's Signature: <br /> <br /> PLAN RE¥IEW SECTION <br /> <br />lvl~aion County do~ not require a plan review. We wdl provide plan review <br />ser~ic~ if you complele Section 5B and submit two (2) ~ of plans and <br /> <br />4_ FEE SCHEDULE {complete aad enter total in All <br /> <br />B. Enter .30% of line Al fo~ Plan Rev~e~ <br />C Investigation Fee,.ifrequired <br /> <br /> $ 25.00 <br /> <br />SUBTOTAL: $ , <br /> $ <br /> <br />D. Reimpection Fee (1;50.00) $ ~ <br />E_ Additional Plan Review, $62.50/hc~r, ( minimum one halfhou0 $ '~ <br /> <br /> {miuimm erie ~at) $ '~ <br /> MC 1541 Rev 9/98 <br /> <br /> <br />