t� .. • Marion County
<br /> . 5155 Silverton Rd NE
<br /> Salem,OR 97305
<br /> C7Off=. 503-588-5147
<br /> 0 REOON Building Permit Fax: 503-566-3977
<br /> Residential Manufactured Dwelling
<br /> Permit,Number: 555-19-002605-MD
<br /> IVR Number: 555060159085
<br /> Web Address:www.co:marion.or.us Email Address:building@co.marion.or.us
<br /> Permit Issued:July 11,2019
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<br /> Category of Construction: Manufactured Dwelling Type of Work: Replacement
<br /> 'Submitted Job Value: $0.00
<br /> Description of Work: MANF: 3 BDRM REPLACING 3 BDRM MANF
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<br /> Worksite Address Parcel Owner. REX&JULIE LYON
<br /> 12255 BUDLONG LN SE 092E24 00600 Address: PO BOX 742
<br /> MILL CITY, OR 97360 MILL CITY, OR 97360
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<br /> Business Name License License Number Phone
<br /> JASON A HAMLIN (MDI) Manuf Dwelling Installer 1653MDI 503-983-4339
<br /> WILLIAM G RUBY JR-Primary CCB 128472 541-915-8885
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<br /> Various inspections are minimally required on each project and often dependent on the scope of work. Contact ,
<br /> the Issuing jurisdiction indicated on the permit to determine required inspections for this project.
<br /> Schedule or track inspections at www.buildingpermits.oregon.gov
<br /> Call or text the word "schedule" to 1-888-299-2821 use IVR number: 555060159085
<br /> Schedule using the Oregon ePermitting Inspection App,search"epermitting"in the app store
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<br /> Fee Description Quantity Fee Amount
<br /> Manufactured dwelling placement permit 1 $285.00
<br /> State manufactured dwelling fee 1 $30.00
<br /> State of Oregon Surcharge-MFD (12% of applicable fees) $34.20
<br /> Marion County Manufactured Home Zoning Review Fee 1 $50.00
<br /> Total Fees: $399.20
<br /> Permits expire if work is not started within 180 Days of issuance or if work is suspended for 180 Days or longer depending on
<br /> the issuing agency's policy.
<br /> All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not.
<br /> Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law
<br /> regulating construction or the performance of construction.
<br /> ATTENTION:Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.Those rules are set
<br /> forth in OAR 952-001-0010 through OAR 952-001-0090.You may obtain copies of the rules by calling the Center at(503)
<br /> 232-1987.
<br /> •
<br /> All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010
<br /> (Structural/Mechanical),ORS 479.540(Electrical),and ORS 693.010-020(Plumbing).
<br /> Printed on:7/11/19 Page 1 of 1 C:1myRepcns/reports//production/O1 STANDARD
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