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OUNTY <br /> C <br /> iial Building Application 515 5MARION MARIONoRd NE <br /> Salem,OR 97305 <br /> Marion <br /> county Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-17-005317-PRMT <br /> wwwcomanor or us building@co.marion.or.us <br /> ********** PERMIT HAS NOT BEEN ISSUED ********** <br /> • " a=,1° TYPE OF 81I;4d " <br /> Tvoe of Work: Category of Construction: <br /> AGEX <br /> Description of Work' NEW INSTALL: AGEX BUILDING <br /> 4 o �it".o JOB SITE FO.ORMATION y��S�riNN<e dui•,, <br /> .4 44 . r .`, x lure ,'. kT'pA.5:= .I.ixa <br /> Property Address: Parcel: Owner: ZORN FARMS INC <br /> 22133 French Prairie Rd Ne,St Paul,OR 97137 042W 11 00800-Primary <br /> Address: 8383 CHAMPOEG RD NE <br /> vqg ST PAUL OR 97137 <br /> ' <br /> i� . •._ LICENSED P "fS . ONAL" A.+ 1t w ON .' �h?, <br /> Businecc Name License Address Phone <br /> y; fry i.'.'x16 li .t,* �,mo,. ;Li <br /> ( n. „ -IL IRED.INS'PEeTIONS. fi�"� �k b <br /> The list or inspections below represents the inspections required for this project at the time of permit printing Additional inspections may he <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 /> ;;4 PERMIT FEES t3'd 'i :G.r3r. ': 1 " . <br /> Fee Description Quantity Amount <br /> Install -Standard subsurface -by gallons per day 150.00 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 /> punted on 07/13/20 17 <br />