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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> 1811CJ12 Salem,OR 97305 <br /> COU12ty Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> 0 R:E G: ON <br /> 555-22-010927-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: COMPOSITE ARCHITECTURE, LLC-ALAIN <br /> 30 E BROADWAY. SUITE 151 <br /> EUGENE, OR 97401 <br /> E ms ° 41 �tf-4 C 3 , , 3sf,f ice,, <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Commercial, $0.00 <br /> Description of Work: NEW INSTALL: HOLDING TANK FOR 10 EMPLOYEES <br /> A jOi$�I l=Tt01RMAT�ON <. <br /> Property Address: Parcel: Owner: INSURANCE AUTO <br /> 605 S Pacific Hwy,Woodburn,OR 97071 051W18D 00400-Primary AUCTIONS INC <br /> Address: 2 WESTBROOK CORPORATE <br /> CTR 10TH FL <br /> 4, M« ._. i x :r. ,-�„ '� -LICE , kPR IFESSr AL W1= #TION ..,.WESTCHESTER IL 60154 <br /> Business Name License Address Phone <br /> ACE SEPTIC TANK SERVICE Installer/Pu 33013 PO BOX 9177 BROOKS OR 97305 (50-3)-393- <br /> mper <br /> License <br /> E + _ r F PERlwt l'FEES :77:;VIttiNWEMINKSI.7445t <br /> Fee Description Quantity Amount <br /> Install-Holding tank -by gallons per day 1.00 GPD $705.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $805.00 <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:12/01/2022 1 std_BuildingApplication pr <br />