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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> - <br /> MarionSalem,OR 97305 <br /> County Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-18-008129-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> ********* PERMIT HAS NOT BEEN ISSUED ********** <br /> Type of Work: Cateaory of Construction: <br /> Manufactured Dwelling <br /> Description of Work: NEW INSTALL 3 BDRM MANF <br /> . _ lOB SITE INFORMATION& a <br /> Property Address: Parcel: Owner: VERNON&PEGGY CANFIELD <br /> 2807 Robins Ln Se,Salem,OR 97317 083W24B 01800- Primary FAM TR <br /> Address: 6325 BATTLE CREEK RD SE <br /> • <br /> SALEM OR 97317 <br /> LICENSE©PROFESSIONAL INFO MATION . .,. ,. .._.0. ... , <br /> Business Name License. Address Phone <br /> 3A CONSTRUCTION,LLC Installer 39002 1690 HARVEY ST SE JEFFERSON OR 97352 (974)-218- <br /> i, License <br /> UIRED PE�QN ,. � t <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 ePermitting Inspection App for Android. <br /> . ,_� . .�, , � � . � PERMIT FEES. .a�H.�,,... .. ..� �� a.. .. k....A_u21;24I r <br /> Fee Description Ouantitv Amount <br /> Install-Standard subsurface -by gallons per day 450.00 GPD $750.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $850.00 <br /> • <br /> This application will expire if application acceptance cannot be achieved within 180 days. <br /> • <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:10/24/2018 1 <br />