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RION COUNTY <br /> Building Applicatio /P a RE- -ilverton Rd NE <br /> Marion Salem,OR 97305 <br /> county Authorization NA 503-588-5147 <br /> FAX: 503-566-3977 <br /> OREGON <br /> 555-19-003340-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> ********** PERMIT HAS NOT BEEN ISSUED ********** <br /> Tyne of Work; Cateaory of Construction; <br /> Manufactured Dwelling <br /> Descriotion of Work: AUTH W/FLD NEW PRIMARY MANF HM 2 BDRM&EXIST MANF HM 2 BDRM CHG OF USE TO HARDSHIP <br /> JOB SITE INFORMATION p, <br /> Property Address: Parcel: Owner: DIBALA,LEO 1_1 {-7 1- `5� <br /> 11775 Riverhaven Ln Se Main House, Stayton, 091E14DC00100- Primary <br /> OR 97383 Address: 11815 RIVERHAVEN LN SE <br /> 11815 Riverhaven Ln Se Hardship, Stayton, OR STAYTON OR 97383 <br /> 97383 <br /> LICENSED PROFESSIONAL INFORMATION <br /> Business Name License Address Phone <br /> SEE PROPERTY OWNER INFORMATION Owner OWNER <br /> _ Property) <br /> REQUIRED INSPECTIONS <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 /> ..r^= :. .5 t+ � a fig.. -t `� . <br /> Fee Descriotion Ouantitv Amount <br /> Authorization notice-with field visit 1.00 Ea $450.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $550.00 <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:05/08/2019 1 <br />