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• � t„,z MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> MarlonSalem,OR 97305 <br /> County Site Evaluation NA 503-588-5147 <br /> FAX: 503-566-3977 <br /> OREGON <br /> 555-19-003739-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 /> Commercial <br /> Description of Work: SE: FUTURE VENUE BUILDING <br /> ":i a c.'w..:..,. .v-;�- ..... ... 'B'' <br /> Property Address: Parcel: Owner: CROSBY LAND CO LLC <br /> 8648 Crosby Rd Ne,Woodburn,OR 97071 052W01 01200- Primary <br /> Address: 8648 CROSBY RD NE <br /> WOODBURN OR 97071 <br /> ,1174;0:e400,14;;X:,req,..41f, ILICEiNSED AROFESSr OVAL INFI R ATION <br /> Business Name License Address Phone <br /> JIM HICKS EXCAVATING,INC. Installer 36748 PO BOX 697 CANBY OR 97013 (97-1)-570- <br /> License <br /> kWaStit EQUIRED CNSPECTION z- :� . ;7:4141,0707 <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 /> 410 <br /> f �"�,..�.,e..,... ;��: .. -�<_ :-..: .�� _..<:.r,f...sae.'.:.,_ r ,.,. .;;m:r. 11-0,0",. ........" ,..,3 <br /> Fee Description Quantity Amount <br /> Site evaluation-Commercial facility by design capacity gallons 1.00 GPD $625.00 <br /> per day <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:05/22/2019 1 <br />