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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> tz <br /> county 503-588-5147 <br /> Site Evaluation NA FAX: 503-588-7948 <br /> OItEG'O.N <br /> 555-23-003993-EVAL <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: MORONES INDUSTRIES LLC <br /> PO BOX 343 <br /> IDAHNA, OR 97350 <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: SE: FUTURE 1 BDRM SFD&FUTURE BATHROOM IN SHOP <br /> st, ., .z.01�-rG� <br /> Property Address: Parcel: Owner: MORONES,ANTHONY <br /> 132 Church St Se,Idanha,OR 97350 10S06E16001700-Primary <br /> Address: 115 CHURCH ST SE <br /> IDANHA m "F" "LICENSED PROF' S aINFORMATION <br /> OR97350 A " <br /> Business Name License Address Phone <br /> �s,p! 'a �^p����fi,���,�.�, s� - '�v�, ��'�, f a ' y.^-s,^^-s� .("� C, T��F• <br /> g�r„r^ �,-_ a�i��` � W°,� A��, <br /> : F'9, - -:v '"n. ��i A _ tiaijt ^U , �� "'�,y v °�'^�, � £-s fix,, ^s ""OV <br /> ..� .F" .�", .�'.... K..�_e. .k, i...*a E z��4.°c^33�'��+�:,, ie'«.F.., - , >." x .. ...,�......,.. <br /> Fee Description Quantity Amount <br /> Site evaluation-Single family dwelling 1.00 Ea $725.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $825.00 <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 exempted by ORS 701.010. <br /> Printed on:05/11/2023 1 std_BuildingApplication pr <br />