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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Marian:- Salem,OR 97305 <br /> County' Authorization NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> O'R'E G O N <br /> 555-19-000647-AUTH <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 /> Commercial <br /> Description of Work: AUTH: CHANGE OF USE, FROM CHIROPRACTIC CLINIC TO CAFE. 3 EMPLOYEES, 10 CUSTOMERS <br /> _ t, 0B SITE INFORMATXO : s i <br /> Property Address: Parcel: Owner: BURLISON,DENNIS L <br /> 11247 Grove St Se,Stayton,OR 97383 092E18BB01600- Primary • <br /> Address: 51094 GATES BRIDGE E <br /> GATES OR 97346 <br /> -< LICENS 3 PROFESSIONAL sINFOR +IATION . .. ��.; <br /> Business Name License Address Phone <br /> SEE PROPERTY OWNER INFORMATION Owner OWNER <br /> rode <br /> R ��; RE'QU�RED INSPECTIONS <br /> � _..� - ,m, „» ,.M. .... : ..�..'! -o .dw....wv,.o...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 y _N .._... ..iag .. ,, . „ .D _..a, . a <br /> Fee Description Quantity Amount <br /> Authorization notice-with field visit 1.00 Ea $450.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $550.00 <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:01/25/2019 1 <br />