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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Mark m Salem,OR 97305 <br /> count' 503-588-5147 <br /> Site Evaluation NA <br /> FAX: 503-588-7948 <br /> O.R.E G O.N <br /> 555-23-005241-EVAL <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: AKS ENGINEERING AND FORESTRY <br /> 3700 RIVER RD N <br /> KEIZER, OR 97303 <br /> r,,, uz, .aE O, WV .-k4 '%ri,h :� kNa..x`"MMF a;;v ay '.«.. :,'.` IO Zt <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Commercial $0.00 <br /> Description of Work: SE: MAINTENANCE BUILDING <br /> alleaV f s 30S SITE INFORMATtO S at <br /> Property Address: Parcel: Owner: EDWARD&DIANNE <br /> 6800 Le Brun Rd Ne,Woodburn,OR 97071 052W15 00400-Primary FERSCHWEILER <br /> Address: 6070 HIGHWAY 219 NE <br /> GERVAIS OR 97026 <br /> ATI'O .,f a.,.,... E.v ':c .W.. <br /> Business Name License Address Phone <br /> saing... sr ,r.�.�� ,.. `�r..,..,�..",.....v. _ ,, ,, ��:� ,��.�11'�E�l?�# �FF.a'i...y ,. t.. -sc- � f`�..,. .. .e �.. .�,�e€,b..as�.��� `�.�k'd.�,�`ro`.����.r`;1. „rh �, ; are,�a <br /> Fee Description Quantity Amount <br /> Site evaluation-Commercial facility by design capacity 720.00 GPD $780.00 <br /> gallons per day <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $880.00 <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:06/20/2023 1 std_BuildingApplication_pr <br />