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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> County. Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-18-005721-PRMT • <br /> www.co.marion.or.us building@co.marion.or.us <br /> ********* PERMIT HAS NOT BEEN ISSUED **********' <br /> PE OF�IVORK M� , <br /> ... dam._. __.__._._ , . n M�...w. <br /> Type of Work: Catenory of Construction: <br /> Single Family Dwelling <br /> Description of Work: NEW INSTALL: 4 BDRM SFD <br /> 30B"SITE;INFORMATION` <br /> Property Address: Parcel: Owner: DOWNES,ANDREW R <br /> 5858 Sunrise Ranch Ln Se,Salem,OR 97317 082W16C 01301- Primary <br /> Address: 5858 SUNRISE RANCH LN <br /> SE <br /> r s , <br /> SALEM OR 97317 <br /> ., . LICENSED PROFESSIONAL:INFORMATION <br /> Business Name License Address Phone <br /> COFFMAN EXCAVATION,INC Installer 35524 PO BOX 687 OREGON CITY OR 97045 (50-3)-656- <br /> License <br /> REQUIRED'INSPECTIONS <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 /> -a.9., .. . PERMIT FEES <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 /> 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:07/27/2018 1 <br />