Laserfiche WebLink
• <br /> °tih; MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> 17ation Salem,OR 97305 <br /> Country 503-588-5147 <br /> Inquiry NA FAX: 503-588-7948 <br /> Q.R:E.G: 0..IV <br /> 555-23-005471-INQY <br /> www.co.marion.or.us building@co.marion.or.us <br /> V ..,_Ea• % 6.s IC¢ g,l .,`+`+ JP W <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified None specified $0.00 <br /> Description of Work: ESE FOR 3 BDRM SFD-PLA 22-026 <br /> n � �.� o.,� �§ � ,�,�. ,,..:«.,. d .ra�:r"� .,s ,�9,k.za`$' �,,�. ��±, 9 � <br /> 1,41111111: f „M;,. �t"3B SsT'fE F 7tRMli`TZI It ,. �. ,,r«, ,4 , <br /> Property Address: Parcel: Owner: MICHAEL R BARNES TR 50% <br /> 9499 Golf Club Rd Se,Aumsville,OR 97325 091W04B 01700-Primary <br /> Address: PO BOX 4594 <br /> '' r � "�LICEN,"ED PROFESSIONAL INFQRMATZ011F SALEM OR 9 2 <br /> Business Name License Address Phone <br /> Es��:ri �,L �yw �.,a �,� �. 'i 1�''�"e�Y��6 a�°" s"� fi� y ;rig �+ <br /> t xv, R d,pa aa.-"fit" ,c r�r .*ikti "f EGS: <br /> Fee Description Quantity Amount <br /> Existing system evaluation report 1.00 Ea $565.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $665.00 <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 an:06/27/2023 1 std_BuildingApplication.pr <br />