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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> lyfalTon Salem,OR 97305 <br /> County : Site Evaluation NA 503-588-5147 <br /> FAX: 503-566-3977 <br /> oit,E G <br /> 555-19-004404-EVAL <br /> www.co.marion.or.us building@co.marion.or.us <br /> ********** PERMIT HAS NOT BEEN ISSUED ********** <br /> `rad x ,- >F# Ir xV-.r a '3 § ^k- m iv ,, <br /> Type of Works Category of Construction: <br /> Single Family Dwelling <br /> Description of Work: SE- FUTURE 3 BDRM <br /> "¢ _ .F` • fi -„,308.Sr r XNF ORMATICI 5 ' ' "3:by�q ' ....... __ <br /> Property Address: Parcel: Owner: RAY,DAVID T. <br /> 10794 Kubin Rd Se, Lyons,OR 97358 092E08 01700- Primary Address: 31741 SW SAVAGE RD <br /> 410,1 1 I CENSER PROFS i ON I ORM TION SHERIDAN OR 97378 <br /> Business Name License Address Phone <br /> «rte.. i , s ,.: `.ate•y <br /> ,„..„„se „, EQUIRECI,I.NSRECTIQN, Y, _. � <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 /> ra• -_ s �": ,x'"- <br /> Fee Description Quantity 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 />