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Building Application MARION COUNTY <br /> 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> Markin Commercial Septic - DEQ 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-16-006130-SEP <br /> wwwcomarion.or.us building@co.marion.or.us <br /> ********** PERMIT HAS NOT BEEN ISSUED ********** <br /> ;t 111 <br /> Tvoe of Work. Cateaory of Construction: <br /> New Installation Commercial <br /> Description of Work' NEW INST: 2 EMP FOR AGEX. STANDARD SYSTEM <br /> .arc., : 4&5 ,"'in.-' ORMATIOW*! `.. .., irvv ru 3r <br /> Property Address: Parcel: Owner: DOWNER,STEVENW <br /> 9700 River Rd Ne,Salem,OR 97303 062W07 01200-Primary <br /> Address: PO BOX 9186 <br /> BROOKS OR 97305 <br /> • i4u i � . .."3 *° ESS121 .:::�b • S». Er 1711.17 rrL......1.,. <br /> Buslneys Name U•n.se Addrsds Phone <br /> ., .. ._ —Thr u. . ... . QI.)l .....,.# libetr_ . ert v..r �118.4 <br /> The List of inspections below represents the inspections required for this project at 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.buiidingpermits.oregon.gov or by calling: 1-888-299-2821 <br /> rr�� When calling for an Inspection,use[PR Number: ( tq <br /> i.I li,.r .111 s:.. .; k2tmc' ': ri'j.di PER.._11 !. � I.�r.°A': i .420, ', {I <br /> Fee Description Quantity Amount <br /> Install -Standard system 1.00 Ea $750.00 <br /> DEQ surcharge 1.00 Ea $100.00 <br /> Total Fees: $850.00 <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 08/23/2016 1 <br />