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gym« MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> 'Nation ° <br /> Salem,OR 97305 <br /> °clarity_ Site Evaluation NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> O?R:'E G O N, <br /> 555-19-002105-EVAL <br /> www.co.marion.or.us building@co.marion.or.us <br /> • <br /> ********* PERMIT HAS NOT BEEN ISSUED **********' <br /> r a f,--"F ',s `� 5 a F.§ L £ 32 i y -sd <br /> Type of Work: Category of Construction: <br /> Single Family Dwelling <br /> Description of Work: SE: FUTURE 2 BDRM SFD AR 19-002 <br /> Property Address: Parcel: Owner: PETERS&SON FARMS INC <br /> 18121 Jasper Ln Se, Sublimity,OR 97385 081E21 00600-Primary <br /> Address: 17496 SILVER FALLS HY SE <br /> SU <br /> 9 <br /> 385 <br /> BLIMy I? ? <br /> INF . .. _. <br /> Business Name License Address Phone <br /> SEE PROPERTY OWNER INFORMATION Owner OWNER <br /> Pro.e bye s pE pL j� <br /> A--'� �`„•; <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 /> i. d 44, f, A .,",.: 4e 4"47: A °!1l5" ° .. x .brit, <br /> Fee Description Ouantity Amount <br /> Site evaluation-Single family dwelling 1.00 Ea $625.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $725.00 <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:03/21/2019 1 <br />