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` mom+ MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> Viatlaffrt <br /> C[Jt1172 ...•_• Permit NA 503-588-5147 <br /> O x E's.o N. FAX: 503-588-7948 <br /> • 555-18-004377-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> *********�*�°PERMIT F#AS NQT BEEN ISSUED *********`* `1; ° <br /> „� s TYPE QF WORK ;rte µ <br /> Type of Work: Category of Construction: <br /> Single Family Dwelling <br /> Description of Work: NEW INST: 3 BDRM SFD <br /> .SOB SITE INFORM1�T2o► 1-r <br /> Property Address: Parcel: Owner: SCHLECHTER, MARY <br /> 7928 Stafney Ln Ne,Gervais,OR 97026 TEMP-ML-rnnr3Ty- <br /> eS Z 1A/I .C 043 O( Address: 7928 STAFNEY LN NE <br /> GERVAIS OR 97026 <br /> ... R. LICEI S I PR(IFESSIONAL:INFO MATIOJ .' _. ,'_. ._. .,,`. <br /> Business Name License Address Phone <br /> SEE PROPERTY OWNER INFORMATION Owner OWNER <br /> (Property) <br /> UTrifREQUIREi zk C PEGTIONS y e a ` .,,. <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 /> ���� �s�w_�:. ..._.� �. � ,_.�• _ . ._.. <br /> ,e. .._ �_ -�PERAx3ITFEES..... � r � �v..__�...r»�.,�: 4t ..ALul <br /> Fee Description Ouantitv Amoun <br /> Install-Standard subsurface -by gallons per day 450.00 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:06/08/2018 1 <br />