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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> 'fl?l17 Permit NA 503-588-5147 <br /> • FAX: 503-588-7948 <br /> ORE'"GON <br /> 555-18-004781-PRMT <br /> www.co.marion.or.us - building@co.marion.or.us <br /> v= , <br /> ° <br /> **** ***ii* PERMIT HAS'NOT BEEN ISSUED 1*********:* ' <br /> ��. . __ • <br /> TYPE+k�F WORK d <br /> Type of Work: Cateciory of Construction: <br /> Single Family Dwelling . <br /> Description of Work: MAJOR REPAIR' <br /> H W x . 3OB4.L,TE INFORMATI,ON<%0V " � <br /> Property Address: Parcel: Owner: BERGERSON,RICHARD L <br /> 20900 Grade Rd Se,Silverton,OR 97381 081EO1B 00900- Primary <br /> Address: 20900 GRADE RD SE <br /> SILVERTON OR 97381 <br /> . �H .... LICENSD-P•OFESSIO_AI.1INFQ <br /> Business Name License Address Phone <br /> OREGON SEWER&DRAIN Installer/Pu 38968 PO BOX 1282 SILVERTON OR 97381 (50-3)-874- <br /> - <br /> 874- <br /> License <br /> ,, REQUIRED INSPECT'cupAT <br /> ___.. -- .,—�.... ,,.�,� - , w�.. •,. � � <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 /> P R IT FEES <br /> Fee Description ouantity Amount <br /> Repair(major) -single family dwelling 1.00 Ea $600.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $700.00 <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 anyother state or local law regulating construction or the <br /> 9 <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:06/22/2018 1 <br />