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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> 3YIQ1Z;p; , <br /> Salem,OR 97305 <br /> 1Gocurt�:. Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-18-008647-PRMT <br /> www.co.marion.or.us building@co.marion.or.us. <br /> ********* PERMITHAS NOT BEEN ISSUED **********' <br /> �i7irek «: 3x sW" .- sr --'ate <br /> ��' <br /> Type of Work: Cateaory of Construction: <br /> Description of Work: NEW INSTALL-4 BDRM <br /> 44ffi'h✓ : k_.. i. � - M ..e_,_r..:_,_... ..._..�...146:B S A IO. z 's<3Sx`as ., 1,�. 1;;V 11 luk ,.._ <br /> Property Address: Parcel: Owner: WILSON,TIMOTHY PAUL <br /> 8302 Elkhorn Dr Se, Lyons,OR 97358 084E32BC00100- Primary <br /> Address: 5245 ADDISON DR S <br /> SALEM OR 97302 <br /> gcgpmpt.:49.,m-sto,vAikwep,RmLICENSED <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 /> QUIRED INSPE E'EN <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 /> PERMITFEES •' 4 <br /> Fee Description Ouantitv Amount <br /> Install-Standard subsurface -by gallons per day 1.00 GPD $750.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $850.00 <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:11/13/2018 1 <br />