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baa,„ MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Marion Salem,OR 97305 <br /> county Authorization NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> O`REG •O•N <br /> 555-19-003012-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> ********** PERMIT HAS NOT BEEN ISSUED **********rtai ' <br /> TIM R V i a , 3*PE OF"WORIC ... <br /> Tvoe of Work: Category of Construction: <br /> Single Family Dwelling <br /> Description of Work: AUTH TO ADD 1 BDRM FOR A TOTAL OF 4 BDRMS <br /> ! <br /> gOr./H Ht®V . ""f _-:' % <br /> Property Address: Parcel: Owner: FOX,BRANDON <br /> 10574 Mill Creek Rd Se,Aumsville,OR 97325 081W32B 01600-Primary <br /> Address: 10574 MILL CREEK RD SE <br /> AUMSVILLE OR 97325 <br /> I P �, , it- x LICENSEDPROFESSIONAL'INFO:IWr '�ATION " w z zx n <br /> Business Name License Address Phone <br /> r `, a UIRED INSPECIlION ,a F`� 4 <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 Septic <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: 555021439299 <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 /> jagw- T€ ' Pz <br /> ,A� qAli . ....'. t f._. <br /> Fee Description 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:04/25/2019 1 <br /> ill <br />