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MARION COUNTY <br /> }- - Building Application 5155 Silverton Rd NE <br /> M81ZO1T Salem,OR 97305 <br /> County Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> O,R.E G O.N <br /> 555-23-003375-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: PATTEE, KYLIE <br /> 5023 MARION HILL RD <br /> TURNER, OR 97392 <br /> . TYPE 01=`WORK � 3 <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: NEW INSTALL: 3BDRM SFD <br /> ...�.. 't _..,� 'SITE <br /> Property Address: Parcel: Owner: PATTEE, KYLEE <br /> 15684 Pletzer Rd Se,Turner, OR 97392 102W04 00700- Primary <br /> Address: 5023 MARION HILL RD <br /> TURNER OR 97392 <br /> Fry ,, LICENSED PRO�ESSIONA!`INFQRMATIQN <br /> Business Name License Address Phone <br /> b3 � <br /> Fee Description Quantity Amount <br /> Install-Standard subsurface -by gallons per day 1.00 GPD $1,010.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $1,110.00 <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 18):1_.c.lays. <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:04/25/2023 1 std_BuildingApplication pr <br />