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COUNTY <br /> MARION Sabi Building Application 5155ton Rd NE <br /> Salem,OR 97305 <br /> c Permit NA 503-588-5147 <br /> FAX: 503-588-7998 <br /> OREGON <br /> 555-17-004500-PRMT <br /> WWW.CO.Marionor.US buildingpco.!name.or.us <br /> ********** PERMITqHAS NOT BEEN ISSUED ********** <br /> ,h`d� ,.. �b r? a. . 2 WORK`'5,1ii., r.. <br /> Type of Work: category of Construction' <br /> pescriotion of Work' MINOR ALTERATION MOVING TANK <br /> . . "PS s - TEINFORMATIOIY iiw., :,!i rig""" n <br /> Property Address: Parcel: Owner: BRUCE C JOHNSON LT 50% <br /> 3161 Ballyntyne Rd S,Salem,OR 97302 083W 18A 00800-Primary <br /> Address: 3161 BALLYNTYNE RD S <br /> SALEM OR 97302 <br /> *,;u zu` 1117.;,:o ` _ -t.j ' {ROFESSI. .. a iaN; « _" <br /> Business Name <br /> J!cense Address Phone <br /> OREGON SEWER&DRAIN Installer 38968 PO SOX 1282 SILVERTON OR 97381 @ (50-3)4874- <br /> 1133,y ' ' •klNii r"; NSPEETIONS.. n'r !I'�^ 7 o,3u qx„.,.. <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.°regon.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 1OS. <br /> OR search"ePermitting"at the Android App Store to download the Oregon ePermitting Inspection App for Android. k, <br /> '111" <br /> . I, hii !:(+1,."$ PER ..,� ..,r r: . . 141`-' Niroa......., <br /> Fee DescrioHoo Ouantity Amount <br /> Alteration (minor) 1.00 Ea 4175.00 <br /> DEQ Surcharge 1.00 Automatic 410090 <br /> Total Fees: $275.00 <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'.06/13/20W 1 <br />