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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> County Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-19-002718-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> ********** PERMITHAS NOT BEEN ISSUED ***'*******' <br /> P �" � 5eay� � yi y °yam';��,"v'� j �:£ ,� r�# <br /> �. ✓.��, ._:�,.�i�wr.. ��wu1s, ''o", ki.w. a�....�,o, s"�. ,.x_....,, - ..... <br /> Type of Work: Cateaory of Construction: <br /> Description of Work: MM REPAIR/AUTH HARDSHIP 4 BDRM YMAIN HOME 3 BDRM HARDSHIP k <br /> --g,.;.. .. ._ ..-_.....»._ . ,:kms, . F s z. ,a .� - ' <br /> Property Address: Parcel: Owner: NICHOLS,MARK A <br /> 10067 Siegmund Rd Se,Stayton,OR 97383 091E10 00200- Primary Address: PO BOX 679 <br /> 10069 Siegmund Rd Se,Stayton,OR 97383 <br /> STAYTON OR 97383 <br /> ATI N - <br /> Business Name License Address Phone <br /> OREGON SEWER&DRAIN Installer 38968 PO BOX 1282 SILVERTON OR 97381 (50-3)-874- <br /> License <br /> ..�"_,� �r"x73+jSPE <br /> Wai <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 ePerrnitting Inspection App for Android. <br /> Fee Description Quantity Amount <br /> Repair(major)-single family dwelling 1.00 Ea $600.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $700.00 <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:04/15/2019 1 <br />