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N COUNTY <br /> Building Application 515 MARION <br /> Rd NE <br /> Salem,OR 97305 <br /> coeur Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-18-006586-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> ********** PERMIT HAS NOT BEEN ISSUED ********** <br /> Tyoeof Work- Cateoory of fonstrurtion• <br /> Single Family Dwelling ' <br /> pescriotion of Work; MA] REP FAILING 4 BDRM LODGE <br /> ,,:• aA .. . .,.a':C..° ' :_F° �..a " <br /> Property Address: Parcel: Owner: UNITED STATES OF <br /> 28855 North Fork Rd Se, Lyons,OR 97358 093E07 00100-Primary AMERICA <br /> Address: <br /> ausiness Name I irenss Address Phone <br /> ON SITE SEPTIC&EXCAVATION LLC CCB 166434 PO BOX 5241 SALEM OR 97304 503-362-7000 <br /> 3zMi� F����.,r• ;' UIRED INSPL 1. .'• �' sem L-, ` a: <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¢Permitting Inspection App for IOS. <br /> OR search"ePermitting"at the Android App Store to download the Oregon ePemiitting InspectiontranApp for Android. <br /> .-. AT! i'dill el u� "hpit <br /> i Y. , PERMIT FE v"' . <:ii <br /> Fee Description Ouantity Amount <br /> Repair(major)-single family dwelling 1.00 Ea $600.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $700.00 <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 /> Punted on'.08127/2015 1 <br />