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- <br /> JWq r <br /> Building <br /> COUNTY <br /> B <br /> Application 5155 Silverton Rd NE <br /> Marion • <br /> RESIDENTIAL / SEPTIC - DEQ Salem,OR 97305 <br /> OREGON 503-588-5147 <br /> FAX: 503-588-7948 <br /> 555-13-005279-SEP <br /> www.co.marion.or.us building@co.marion.or.us <br /> ********** PERMIT HAS NOT BEEN ISSUED ********** <br /> TYPE'OF WORK <br /> Type of Work: Category of Construction: <br /> Permit Renewal Single Family Dwelling <br /> Description of Work: RENEWAL OF INSTALL 08-00246&CHG FROM SAND FILTER TO ATT <br /> l , <br /> • 3013 SITE INFORMATION <br /> Property Address: Parcel: Owner: SHARABARIN,MARINA M <br /> 14530 Nikita Ln Ne, Silverton,OR 97381 061W25C 01001- Primary <br /> Address: 29855 S HIGHWAY 213 <br /> MOLALLA OR 97038 <br /> LICENSED,PROFESSIONAL-INFORMATION = <br /> Business Name License Address Phone <br /> JIM HICKS EXCAVATING INC CCB 98043 PO BOX 697 CANBY OR 97013 503-266-5975 <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 /> 7999 Final Inspection <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:555119452414 <br /> PERMIT FEES <br /> Fee Description Quantity Amount <br /> Permit renewals without field visit 1.00 Ea $26.00 <br /> Hourly inspection rate 2.00 Hours $134.50 <br /> DEQ surcharge 1.00 Ea $60.00 <br /> Total Fees: $220.50 <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:08/29/2013 1 <br />