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COUNTY <br /> Building Application 5155MARION IONon Rd NE <br /> Salem,OR 97305 <br /> County Septic - DEQ 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-16-004381-SEP dmldmgpco.marion.or.ps <br /> www.co.merion.or.us <br /> ********** PERMIT HAS NOT BEEN ISSUED ********** <br /> Type of Work: CateOOry of Construction: <br /> New Installation Manufactured Dwelling <br /> H <br /> pescrlotiOn5'of Work: NEW INSTALL FUTURE 2 8DRM4M B 1`E II FDftM .T10, „ �„ �'. 1qN 2t.lilt <br /> Property Address: Parcel: Owner: WAGGERBY,DONALD <br /> 13100 Blackberry Ln Ne, Hubbard,OR 97032 041W27DA04303- Primary Address: 13110 BLACKBERRY LN NE <br /> HUBBARD OR 97032 ,.._, <br /> ow x ?moi' I ... PR6FESSTONA?ANFopt <br /> - A'no 4 `I ;315.� <br /> Ducinesc Name LRenos Address PLO=Eho <br /> RALSTON EXCAVATING,INC Installer 38629 PO BOX 518 COLTON OR 97017 <br /> The list of inspections below epresents the inspections required for this project at the of permit printing Additional pct ns may be <br /> required through the ISe 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.buildingpermlts.oregon.gov or by calling: 1-888-299-2821 <br /> When calling for an inspection,use IVR Number: <br /> 1111P,77 ' .: � a `rERF�T Fin act -a a jeja j,jtj. 27 <br /> fee Description Ouantipl Amount <br /> Install- 100.00 1.00 Ea $990.00 <br /> ATT <br /> DEQ surcharge 1.00 Ea $ <br /> Total Fees: $1,090.00 <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 /> Pnnted on'.Ofi/20/2018 1 <br />