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,nrA�+•u MARION COUNTY <br /> " = > Building Application 5155 Silverton Rd NE <br /> Harlan Salem,OR 97305 <br /> • county Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREC0N <br /> 555-18-008184-PRMT <br /> www.co.marion.or.us building@co.marion.or.us • <br /> ********** PERMIT HAS NOT BEEN ISSUED ********** <br /> Type of Work: Cateaory of Construction: <br /> Single Family Dwelling <br /> Description of Work: AUTH MA]ALT: 3 BDRM SFD TO REPL 3 BDRM SFD <br /> M a ` t JOB SITE INFORMATIO f � fA mai i. <br /> >.,� r,a' az,au w,,,.. �, ..awxr,�,.a,< ... ..... _,� -T.`_ _,__ ,:;� .3e <br /> Property Address: Parcel: Owner: HEIDT,LEONARD <br /> 12768 Leah Ln Ne,Woodburn,OR 97071 051W25 00800- Primary <br /> Address: 16563 OTTER LN NE <br /> MT ANGEL OR 97362 <br /> ;L CENSE *,,RP,FPSIONAkINfPRMATION:4:-Itzwi, <br /> Business Name License Address Phone <br /> PACIFIC NORTHWEST EXCAVATING,LLC Installer 38846 PO BOX 61 WILSONVILLE OR 97070 (50-3)-329- <br /> License <br /> REQUIREDrINSPEcTIONS � ,. <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 /> PERMIT FEES' <br /> Fee Description Ouantity Amount <br /> Alteration(major) 1.00 Ea $675.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $775.00 <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:10/26/2018 1 <br />