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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Marfan . Salem,OR 97305 <br /> Gory Permit NA 503-588-5147 <br /> FAX: 503-566-3977 <br /> ORE G O N` <br /> 555-19-003668-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> ********** PERMIT HAS NOT BEEN ISSUED ********** <br /> f �., 1 <br /> 4014 <br /> x.'aH ..� ,a �, " GT S �Eli1.� ,.,,. .�.s� r, ?. �.,a,‘"1"7,;,104,q5, �, .,,,ti , ; rgoL,;. <br /> Type of Work: Category of Construction: <br /> Description of Work: MINOR REPAIR-TANK ONLY <br /> 4 .A R°�' ✓A+. 4 `,_'".5� � w u4B✓ <br /> X <br /> Property Address: Parcel: Owner: HENKEL,LLOYD R <br /> 8838 Silver Falls Hwy Se,Aumsville,OR 97325 082W13C 02500- Primary <br /> Address: PO BOX 12982 <br /> ■ /�Cr�_s_ p Ly /� /� �[ * SALEM OR 97309 <br /> Business Name License /Address Phone <br /> ON-SITE SEPTIC AND EXCAVATION LLC Installer 36786 P.O.BOX 5241 SALEM OR 97304 (50-3)-362- <br /> License <br /> s tr i sn ",R"r'�' € .'s 'N ky'`� E C NSPE a :�' � '� g- <br /> p 3'� :. W'pA4 .s� � .� �' � fii �Fii� !•�7�'f �"' « <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 /> Fee Description Ouantitv 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:05/20/2019 1 <br />