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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> -- Salem,OR 97305 <br /> County Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-18-008374-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> ********** PERMIT HAS NOT BEEN ISSUED ********** <br /> Type of Work: Category of Construction: <br /> Single Family Dwelling <br /> Description of Work: NEW INST: 4 BDRM. STANDARD SYSTEM�w 1 y �. <br /> Property Address: Parcel: Owner: JONES,JAEM <br /> 6625 Sweetwater Ln Se,Salem,OR 97317 082W03C 01501- Primary Address: 1425 PRAIRIE CLOVER AVE <br /> NE <br /> yi KEIZER OR 97303 <br /> 3CiSN i PRCI:SSAi ICEOIMATIt1N a � Yt <br /> Business Name License Address Phone <br /> OTTO S BACKHOE Installer 38460 2590 65TH AVE SE SALEM OR 97317 (50-3)-364- <br /> License <br /> yam- sa �..uz" <br /> ,,, r„ �y� l�U iD I NSPECTIONs p s' - rE <br /> The list of inspections below represents the inspections required for this project at the time of permit printing. Additional inspections may be <br /> required through the life of the project. You will receive notification of any additional inspection requirements for project completion. All <br /> required inspections must be completed and approved. <br /> Schedule Inspections online at www.buildingpermits.oregon.gov or by calling: 1-888-299-2821 <br /> When calling for an inspection, use IVR Number: <br /> OR search"ePermitting"at the Apple App Store to download the Oregon ePermitting Inspection App for IOS. <br /> OR search"ePermitting"at the Android App Store to download the Oregon ePermitting Inspection App for Android. <br /> /'s SWAM F ,e <br /> Fee Description Ouantitv Amount <br /> Install-Standard subsurface - by gallons per day 450.00 GPD $750.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $850.00 <br /> This application will expire if application acceptance cannot be achieved within 180 days. <br /> All provisions of laws and ordinances governing this type of work will be complied with <br /> whether specified herein or not. Granting of a permit does not presume to give authority to <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. <br /> All persons or entities performing work under this application are required to be licensed <br /> unless exempted by ORS 701.010. <br /> Printed on:11/01/2018 1 <br />