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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> MarionSalem,OR 97305 <br /> cou ty Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> O":R•'E C, O <br /> 555-19-002209-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> ********** PERMITHAS NOT BEEN ISSUED ********** <br /> :i-ztn s,Kt-M .y r v Q "" �-rp ux3ss a pp ?N ,� xn e ✓ <br /> Type of Work: Cateaory of Construction: <br /> Manufactured Dwelling <br /> Description of Work: MINOR REPAIR TO REPLACE FAILING TANK <br /> t.: y <br /> Property Address: Parcel: Owner: BURNETT,GLEN A <br /> 12155 Neal St Se,Aumsville,OR 97325 091W19BB03400- Primary Address: 12155 NEAL ST SE <br /> AUMSVILLE OR 97325 <br /> •S PRt FESS ONAL INFORMATION � y w y � <br /> Business Name License Address Phone <br /> LONE PINE CORNER SEPTICS INC. Installer 37003 8778 CASCADE HIGHWAY,NE SILVERTON (50-3)-873- <br /> License OR 97381 <br /> Q,t IREDfI SPE .4 tOie " ``. �M 71 <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 /> � +�?y,� <br /> >�� .. �.;.. .« �� w...�. �:. ._._ ... <br /> Fee Description Ouantity Amount <br /> Repair(minor)-single family dwelling 1.00 Ea $100.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $200.00 <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:03/26/2019 1 <br />