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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> . 3116/1 Salem,OR 97305 <br /> County' 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> O:.R E G:O:N <br /> 555-22-010659-PRMT <br /> - www.co.marion.or.us building@co.marion.or.us <br /> Applicant: AER ELECTRICAL LLC <br /> PO BOX 889 <br /> STAYTON, OR 97383 <br /> , <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Accessory Structure $0.00 <br /> Description of Work: MIN ALT TO TO ADD A PUMP TANK FOR 1:7THENEW MUSIC ROOM BLDG BATHROOM <br /> ,,;_- <br /> - s .......:.._a� s .� 3�.:1013 SU INFORMA'1 IO < x "'" ..» ',^�"„_F <br /> � � <br /> Property Address: Parcel: Owner: HARE, KATHRYN <br /> 5959 57Th Ct Se,Salem,OR 97317 082W16C 02400-Primary <br /> Address: 5959 57TH CT SE <br /> SALEM OR 97317 <br /> ." -c ^ i,i •z�'�' p O N Fit A -:�,�n a i�i , �, a i <br /> ..,�.� ,,: �� „�, 3 .,. `�� � � l �r� 1�"R�✓F�.�+.� �c���[-�«+�A��»+l� ����� ;r s•.�' •i*.,�- r 'a$ <br /> Business Name License Address Phone <br /> Fee Description Quantity Amount <br /> Alteration (minor) 1.00 Ea $415.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $515.00. <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:11/22/2022 1 std_BuildingApplication pr <br />