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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> MarianSalem,OR 97305 <br /> County Authorization NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> O R.E G O.N <br /> 555-19-002250-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> ********** PERMIT HAS NOT BEEN ISSUED ********** <br /> "3411"y# pe$' 5` A i, _Irriffor`'IMAM deihroRlack 'MM 7 <br /> Type of Work; Catenary of Construction: <br /> Manufactured Dwelling <br /> Description of Work: AUTH W/O FIELD VISIT. REPLACE 2 BDRM SFD W 2 BDRM MANF <br /> ' ;3©B S1T NEQRMATTCEN'', <br /> Property Address: Parcel: Owner: ROBERT B QUALEY LT <br /> 20096 Abiqua Rd Ne,Scotts Mills,OR 97375 071E11D 00700-Primary <br /> Address: 15256 FOX RD SE <br /> SILVERTON OR 97381 <br /> f ENS D PROF .._ IONAf INFORMATION ' .z <br /> Business Name License Address Phone <br /> E ,h ZFN Z- � gra �s s ,��.,,� g .:ten ��z. ��'"�sy; .� a � 9 �' <br /> :,?t• �,f'r a QUIRED'k hNSP UN , � � g, g �" 3st <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 /> 0C"IiME�+�RvMT <br /> ._.,.•,r ..._ ....,w. ,_....'. _ ......3 ., _ :., o- � ...4,- � <br /> Fee Description Ouantitv Amount <br /> Authorization notice-no field visit 1.00 Ea $150.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $250.00 <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:03/27/2019 1 <br />