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MARION COUNTY <br /> Silverton Rd NE <br /> Building Application 5155 <br /> Nariorr Salem,OR97305 <br /> county 503-588-5147 <br /> Site Evaluation NA FAX: 503-588-7948 <br /> Q.R G:0 N <br /> 555-23-004180-EVAL <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: VALLEY SCIENCE&ENGINEERING - CHRIS COTTON <br /> 3511 PACIFIC BLVD SW <br /> ALBANY, OR 97321 <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified MH PARK ADDITION $0.00 <br /> Description of Work: SE: FOR ADDITIONAL HOME <br /> Property Address: Parcel: Owner: MHC HOPE VALLEY LLC <br /> 8372 Enchanted Way Se,Turner,OR 97392. 083W36 00500-Primary <br /> Address: 2 N RIVERSIDE PLZ STE 800 <br /> CHICAGO IL 60606 <br /> LICENSE® PROFESSIONAkL,INFORMATION <br /> Business Name License Address Phone <br /> PERMIT FETES771777,377fr <br /> Fee Description Quantity Amount <br /> Site evaluation -Commercial facility by design capacity " 5,940.00 . GPD $2,280.00 <br /> gallons per day <br /> DEQ"Surcharge . 1.00 . Automatic $100.00 <br /> Total Fees: $2,380.00 <br /> Note:This may hot 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:os/i�/zoz3 1 std_BuildingApplication_pr <br />