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• <br /> MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> axiatz', Salem,OR 97305 <br /> county Permit NA 503-588-5147 <br /> FAX: 503-566-3977 <br /> ORE 6 O N <br /> 555-19-004656-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> ********** PERMIT HAS NOT BEEN ISSUED ********** <br /> Tyne of Work: Catenary of Construction: <br /> Description of Work: NEW INSTALL 4 BDRM SFD <br /> Property Address: Parcel: Owner: KLOSTERMAN,RYAN <br /> 9654 Ankeny Crest Ln S,Salem,OR 97306 093W040 01701-Primary <br /> Address: 1215 ALBERT DR SE <br /> SALEM OR 97302 <br /> w' id s <br /> d� �.. iI FSS ONAL INFORNATI+C I ��g y ,.,. • <br /> Business Name License Address Phone <br /> SEE PROPERTY OWNER INFORMATION Owner OWNER <br /> Pro.e <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 ePemiitting Inspection App for Android. <br /> Fee Description Ouantitv Amount <br /> Install-Standard subsurface -by gallons per day 1.00 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 /> • <br /> Printed on:06/21/2019 1 <br />