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MARION COUNTY <br /> Building-Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-17-004985-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> .m. a <br /> *********`°PERMIT HAS NOT BEEN ISSUED ********** . . <br /> ° <br /> Type of Work: Category of Construction: <br /> . Description of Work: NEW ATT SYST v"o NEW PART OF PROPERTY FOR REPLACEMENT 4 BDR SFD <br /> `I08=SITE�INFORMATION �- __ .. <br /> Property Parcel: Owner: SHULTZ,DANIEL ALAN <br /> 1158 r:- d Se,Turner,OR 97392 092W14D 00600-Primary <br /> Address: 11584 BRICK RD SE <br /> TURNER OR-97392 <br /> „:_LICENSED PROFESSIONAL INFORMATION ` <br /> Business Name License Address Phone <br /> BETHEL EXCAVATING Installer 36198 PO BOX 504 TURNER OR 97392 (50-3)-743- <br /> License <br /> �n9 . ..,"`REQUIRED INSPECTIONS _s.... z, <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 /> PERMTFEES . ._,... <br /> Fee Description Quantity Amoun <br /> Install-ATT-by gallons per day 450.00 GPD $990.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $1,090.00 <br /> • <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:06/29/2017 1 _ <br />