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era�� Marion County <br /> 5155 Silverton Rd NE <br /> .-- � 5 Salem,OR 97305 <br /> !Marion 555-17-005149-PRMT 503-588-5147 <br /> County Fax:503-588-7948 <br /> OREGON Onsite Permit <br /> Address: 14655 LIBBY LN, JEFFERSON <br /> Parcel: 092W31 01100 <br /> Subdivision: None Block:None Lot: None <br /> Detailed Inspection Report <br /> www.co.marion.or.us building@co.marion.or.us <br /> Inspector: Matthew Puntney <br /> Inspection;-7020 Pre cover <br /> IVR Phone: 1-888-299-2821 IVR Number: 555078397719 <br /> Category of Construction:Single Family Dwelling Type of Work: None Specified <br /> Work Description: NEW INSTALL: 5 BDRM SFD <br /> Request Information <br /> Inspection Date: 10/04/2017 <br /> Requestor:Sharon Jones <br /> Contact Name: KEVIN Contact Phone: 503-508-3441 <br /> Conditions of Approval <br /> ADDITIONAL INFORMATION/REQUIREMENTS FOR ONSITE <br /> Date Issued: 07/26/2017 <br /> Comments: Approved Area&System Type This property has been approved for a STANDARD SEPTIC SYSTEM in the area of <br /> • <br /> Other Contacts <br /> Relationship License Name Phone <br /> Primary Contractor Owner(Property)-OWNER SEE PROPERTY OWNER INFORMATION <br /> Primary Contact ZUIDEMA,JEREMY 541-740-1769 <br /> Record does not have other inspections <br /> Permit Fees <br /> Fee Description Quantity Fee Amount <br /> DEQ Surcharge 1 $100.00 <br /> Install-Standard subsurface -by gallons per day 525 $750.00 <br /> Total Fees: $850.00 <br /> 10/5/17 8:51 am Page 1 of 1 C:\myReports/reports//production/01 STANDARD <br />