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MARION COUNTY <br /> = . 4 Building Application 5155 Silverton Rd NE <br /> ! <br /> rf - .2'- Salem,OR 97305 <br /> Comity Site Evaluation NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> 0 R E G O N <br /> 555-19-001240-EVAL <br /> www.co.marion.or.us building@co.marion.or.us <br /> ********** PERMITHAS NOT BEEN ISSUED *'*********' <br /> w, TYPE QF WORK...... � . ... <br /> Type of Work: Cateaory of Construction: <br /> Commercial <br /> Description of Work: SE FOR OFFICE 15 PROPOSED EMPLOYEES <br /> Property Address: Parcel: Owner: COLEMAN LAND COMPANY <br /> 5233 Keene Rd Ne,Gervais,OR 97026 052W20 01700- Primary LLC <br /> S 235 Address: PO BOX 81 <br /> R,g LICENSE© P OFESS ONAL INFOt MATION ST PAUL OR 37 3 z 1 <br /> Business Name License Address Phone <br /> .� REQUIRED 3I,NSPECTIONS <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.. , r . . . . ... _. <br /> Fee Description Ouantitv Amount <br /> Site evaluation-Commercial facility by design capacity gallons 1.00 GPD $625.00 <br /> per day <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:02/19/2019 1 <br />