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Application for Revision to Approved Plans <br /> Marion County Public Works A5155 Silverton Rd NE Salem, OR 9 E116 Marion <br /> CountyPhone: (503) 588-5147 Fax: (503) 5Email: Buildingnaco.marion.ocuDEC ao Z�2� <br /> OREGON Internet address: www.co.marion.or.us <br /> MARION COUN <br /> BUILDING INSPECTION <br /> A Revision Application Cannot be Processed Without this Completed Form <br /> Original Permit Number sss 21-011687 <br /> Site Address 2284 ROCKLEDGE DR. NE KEIZER, OR. 97303 <br /> Any changes that increase the square footage or changes to the footprint of the structure as <br /> approved on the original permit will require a Revision Application. <br /> Revised plans are required with the changes clouded, highlighted or otherwise identified. <br /> A fee of$67.25 per hour will be charged, with a minimum of one-half hour, due at the time of <br /> application. <br /> I request that the original permit identified above be reviewed for the following change(s): <br /> # Work not specifically listed shall not be considered part of this Revision. Use <br /> extra pages as needed. <br /> 1• ALTERNATE COMPLIANCE METHOD FOR THE OREGON RESIDENTIAL <br /> 4 SPECIALTY CODE REQUIRING AUTOMATIC RESIDENTIAL FIRE SPRINKLER <br /> SYSTEMS. <br /> a) DIRECT EXITS TO THE EXTERIOR FROM EACH BEDROOM <br /> WHERE CARE IS PROVIDED. <br /> b)WIRED SMOKE ALARM SYSTEM <br /> Signed: " k.../ MUD Date: 12/30/2021 <br /> Printed Contact Name: ELAN CALISE <br /> Address of Contact Name: 2284 ROCKLEDGE DR NE KEIZER, OR 97303 <br /> Phone Number of Contact: 503-960-0650 <br /> E-mail Address of Contact: ELANCALISE@GMAIL.COM <br /> Office Use Only / <br /> 'ir <br /> OK to accept PE initials <br /> G:�Forn,slBldg WO2 Revision to Approval Plans 9_l6.doc rev 5/14 <br />