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MARION COUNT,' <br /> =3 -_ Building Application 5155 Silverton Rd NE <br /> Marion Salem,OR 97305 <br /> county Site Evaluation NA 503-588-5147 <br /> FAX: 503-566-3977 <br /> EGON <br /> 555-19-003957-EVAL <br /> www.co.marion.or.us building@co.marion.or.us <br /> ********** PERMIT HAS NOT BEEN ISSUED **********' <br /> v�` ,. ✓ tN'f `" 7 a_ : ✓` TYP�'O ORIu- 4"G. '� twro �.9 ^ ta x �::,Nkbgii 'y3'§`" ' <br /> �' ..�,_�,..� <br /> Type of Work: Category of Construction: <br /> Single Family Dwelling <br /> Description of Work: SE: FUTURE 4 BDRM SFD <br /> OB ST"t IN ORMATI"O <br /> Property Address: Parcel: Owner: HELMS,ELIZABETH D <br /> 3729 Helms Ln Se,Jefferson,OR 97352 102W07B 00400- Primary Address: 2874 MILLERSBERG DR NE <br /> ALBANY OR 97321 <br /> u � 3.; , y i _LIKENS D PR FESS ON CL TNFOt MATION � , <br /> Business Name License Address Phone <br /> BETHEL EXCAVATING Installer 36198 PO BOX 504 TURNER OR 97392 (50-3)-743- <br /> License • <br /> F j 4.4" rL r A7 V;; ,g rf 3°a. e s U E® � PECTIO a7 x :r <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 /> • <br /> as Cir < <br /> Fee Description Ouantity 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:06/13/2019 1 <br />