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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> county . 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> OREGON <br /> 555-20-006784-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Action Drain &Rooter Service <br /> 3690 Kashmir Way. SE <br /> Salem, OR 97317 <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: NEW INSTALL 3 BDRM RES <br /> -,117;04014,77-#:;':7-ia-P-Wth4 <br /> Property Address: Parcel: Owner: CINDY CLARK <br /> 10745 Oak Dr Se,Salem,OR 97306 093WO9D 00900- Primary <br /> Address: 2148 REED CT SE <br /> SALEM OR 97306 <br /> t�b :; P1 3�,a�a 'Otitt� , "t , k.P. € ` x •+ , <br /> ...,�. . ,.-a ..-. r»ws�awamsNr�a��a, .: ..�.k <br /> Business Name License Address Phone <br /> ACTION DRAIN&ROOTER SERVICE Installer 36323 3690 KASHMIR WAY,SE SALEM OR 97317 (50-3)-370- <br /> License <br /> Fee Description Quantity Amount <br /> Install-Standard subsurface -by gallons per day 450.00 GPD $750.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $850.00 <br /> Note:This may not include all the fees required for this project. <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. <br /> All persons or entities performing work under this application are required to be licensed <br /> unless by <br /> exempted ORS 701.010. <br /> P <br /> Printed on:09/24/2020 1 std_BuildingApplicationpr <br />