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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> r Boit _ Salem,OR 97305 <br /> G'o'utyAuthorization NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> 555-19-000917-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> ****'*****' PERMIT HAS NOT BEEN ISSUED ********** <br /> Type of Work: Cateoory of Construction: <br /> PARK MODEL- HARDSHIP <br /> Description of Work: AUTH: ADD PARK MODEL(HARDSHIP)TO EXISTING SYSTEM 2 BDRM <br /> 1 .Jt a i xFliZe4. ;�.�,qp 5^atik.V. 'i' '. '-.,:`z M� �, , 1�✓Fx.... ya, -.. a.-»3...Yva..�...�............. s::�.. -� y`�c.....,.e.... Er <br /> Property Address: Parcel: Owner: GARCEAU,FRANCIS <br /> 3141 Jefferson Scio Dr Se,Jefferson,OR 97352 103W12 01200- Primary <br /> Address: PO BOX 774 <br /> JEFFERSON OR 97352 <br /> Rt3y - c - <br /> V l» Sl 11 Pl'ESS1 <br /> Business Name License Address Phone <br /> SIMr .�. rr <br /> 41a mss. `0 . �- _ , <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 JOS. <br /> OR search"ePermitting"at the Android App Store to download the Oregon ePermitting Inspection App for Android. <br /> P MIT <br /> FFEES.. ' r' i.'fla - <br /> Fee Description Ouantity 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:02/06/2019 1 <br />