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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> 17t non Salem,OR 97305 <br /> County Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> OR.EG O.N <br /> 555-23-005943-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: A&B SEPTIC SERVICE <br /> PO Box 444 <br /> Albany, OR 97321 <br /> :.. --.. �� «�'.'.:�.A: e. ;.'as,. aozs,. �;, ,, °•�,�,�. TYPE..C>`���% Q� �'.ra � ���.' �' �'�`�, •in> E°�x r l✓ ,�` � '"�"9"':: <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: MIN REP: 4 BDRM SFD-REPL 2 DBOXES <br /> A i=k#g�t� <br /> Property Address: Parcel: Owner: BATEMAN FAM TR <br /> 8591 Ashdown Ct Se,Salem,OR 97317 072W368 01000-Primary <br /> Address: 8591 ASHDOWN CT SE <br /> SALEM OR 97317 <br /> LICENSEDPROEE"SS O Li10.04 ATIOi St U...A <br /> Business Name License Address Phone <br /> A&B SEPTIC SERVICE Installer/Pu 38137 PO BOX 444 ALBANY OR 97321 541-926-0099 <br /> mper _ <br /> License <br /> S �"r.wtii'otal ,e:.. �, ✓'":r3 £'"i"N o ,.'`a. <br /> .»,-....cm,--:�a `.� `"-.�`�u ac.....rFee Description Quantity Amount <br /> Repair(minor) -single family dwelling 1.00 Ea $320.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $420.00 <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:07/13/2023 1 std_BuildingApplication pr <br />