Laserfiche WebLink
MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> CO3T Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> R:'E''c-O N <br /> 555-17-005149-PRMT <br /> www.co.marion.or.us <br /> building@co.marion.or.us <br /> : *** PERMIT NASN`OTB <br /> EN�ISSUED <br /> Type of Work: Cateciory of Construction: <br /> Single Family Dwelling <br /> Description of Work: NEW INSTALL: 5 BDRM SFD <br /> ' a sxr <br /> -Property Address: Parcel: Owner: ZUIDEMA,JEREMY <br /> 14655 Libby Ln Se,Jefferson,OR 97352 092W31 01100-Primary <br /> Address: 14655 LIBBY LN SE <br /> JEFFERSON OR 97352 <br /> Ir �ENSEI� FRO ESQ ` (> <br /> ._.__: <br /> m_....__ <br /> Business Name License Address Phone <br /> SEE PROPERTY OWNER INFORMATION Owner OWNER <br /> (Property) <br /> REQUIREfNSFECTIO ... <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 /> • �� <br /> .._ PERMIT FEES � M , <br /> - Fee Description Quantity Amount <br /> Install-Standard subsurface - by gallons per day 525.00 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:07/07/2017 1 <br />