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N COUNTY <br /> Building Application 5155MARION <br /> Rd NE <br /> Salem,OR 97305 <br /> e� Permit NA 503-588-5147 <br /> FAX 503-588-7948 <br /> OREGON <br /> 555-17-003974-PRMT <br /> wwwcomanor.or.us building@co.marion.or.us <br /> ****"***** PERMIT HAS NOT BEEN ISSUED ********** <br /> tin 4. erOF,WORIC *Ig f <br /> Tyne of Work: Category ofConstrucnon' <br /> Accessory Structure <br /> Descr'ntlon of Work: NEW INSTALL FOR PERSONAL ACCR BLDG(FUTURE REPAIR SYSTEM FOR SFD <br /> . .+ nwo - -. � f nx <br /> Err ` 137,/ ? JOB , 'RMATIO <br /> Property Address: Parcel: Owner: OLCOTT,KENNETH A <br /> 17108 Eames Ferry Rd Ne,Woodburn, OR 051W06AD00700- Primary <br /> 97071 Address: 17108 BOONES FERRY RD <br /> NE <br /> +� WOODBURN OR 97071 <br /> „FTh� " ry tIC '�. iii„issioargsly, <br /> now <br /> Business Name License Address Phone <br /> SEE PROPERTY OWNER INFORMATION Owner OWNER <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.buildingpermlts.oregon.gay 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 ePerm itting Inspection App for 1OS. <br /> OR search"ePermittmg"at the Android App Store to download the Oregon ePermitting Inspection App for Android. <br /> -a`:C u tip. <br /> Fee Descrlotlon Ouantity Amount <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:05/25/20l7 1 <br />