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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> fil <br /> ayjpyt� Salem,OR 97305 <br /> COUnty Site Evaluation NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> E'G'O <br /> 555-19-003195-EVAL <br /> www.co.marion.or.us building@co.marion.or.us <br /> ********* PERMIT HAS NOT BEEN ISSUED ********** <br /> � <br /> � x <br /> rxi , - , 4 "Irk®: .(. �k mss :: .�' ,.c <br /> Type of Work: Category of Construction: <br /> Single Family Dwelling <br /> Description of Work: SE: FUTURE 4 BDRM SFD <br /> e, B y y <br /> Property Address: Parcel: Owner: TERRY E&PATRICIA D <br /> 5724 Crooked Finger Rd Ne,Scotts Mills,OR 061E36B 00500- Primary CASTER RLT <br /> 97375 Address: PO BOX 373 <br /> SILVERTON OR 97381 <br /> Business Name License Address Phone <br /> LONE PINE CORNER SEPTICS INC. Installer 37003 8778 CASCADE HIGHWAY,NE SILVERTON (50-3)-873- <br /> License OR 97381 <br /> g ',74771z.01,440''' �r 0;,1" "� a sr <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 /> z`.: 3 sw� �• „ �`' `. ;''y ss <br /> Fee Description Ouantitv Amount <br /> Site evaluation-additional lots 1.00 Ea $575.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $675.00 <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:05/02/2019 1 <br />