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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Marlon _ Salem,OR 97305 <br /> County Site Evaluation NA 503-588-5147 <br /> FAX: 503-566-3977 <br /> O'R E G O N <br /> 555-19-003415-EVAL <br /> www.co.marion.or.us building@co.marion.or.us <br /> ********** PERMIT HAS NOT BEEN ISSUED ********** <br /> Tvoe of Work: Cateaory of Construction: <br /> Single Family Dwelling <br /> Description of Work: SE: FUTURE 3 BDRM SFD <br /> 0ilil <br /> a'.v z `� <br /> g0 �.:y v <br /> Property Address: Parcel: Owner: MARK&JOLLY LLC <br /> 10979 Brick Rd Se,Turner,OR 97392 092W11 01400- Primary <br /> Address: 4199 75TH AV SE <br /> SALEM OR 97317 <br /> M LICENSE PROFS- L INFO MATION vk ftwrig' 4 . m o <br /> Business Name License Address Phone <br /> SEE PROPERTY OWNER INFORMATION Owner OWNER <br /> Pro.e <br /> ,43"wi n ' .<U <br /> _ - QtiUIREDaINSPECTIONS � @ <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 /> 1: ',` 4 t..' "v7 13 <br /> Fee Description Ouantitv Amount <br /> Site evaluation-Single family dwelling 1.00 Ea $625.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $725.00 <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:05/10/2019 1 <br />