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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> 17allo'l�" Salem,OR 97305 <br /> CodltitL,%,. Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-18-006523-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> ********** PERMITHAS NOT BEEN ISSUED ********** <br /> TYPE OF WORK <br /> Type of Work: Cateaory of Construction: <br /> Manufactured Dwelling <br /> Description of Work: NEW INSTALL FOR ATT SYS 4 BDRM RES <br /> SOB S1"(E INFORMATION <br /> Property Address: Parcel: Owner: MATHEWS LARRY& <br /> 859 Terrace Dr, Scotts Mills,OR 97375 061E22AC00800- Primary DAVIDSON ERIN <br /> Address: 209 LEWIS ST <br /> SILVERTON OR 97381 <br /> .LICENSED PROFESSIONAL INFORMATION <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 /> RE UIRED INSPECTIONS <br /> r' Q • <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 /> Fee Description Quantity Amount <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 /> 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:08/23/2018 1 <br />