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Atrmk MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> MarionSalem,OR 97305 <br /> county 503-588-5147 <br /> Site Evaluation NA: <br /> FAX: 503-588-7948 <br /> ORE;G O N <br /> 555-23-007545-EVAL <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: AMERICAN ON SITE <br /> 31881 S Hwy 213 <br /> Molalla, OR 97038-0857 <br /> s �r TYP OF WORKS� q <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Commercial $0.00 <br /> Description of Work: SE: FUTURE FIRE STATION <br /> r s anfSTI; siN ORMAT1 a Nt , ° :y ," v <br /> Property Address: Parcel: Owner: AURORA RURAL FIRE <br /> 12810 Ehlen Rd Ne,Aurora,OR 97002 041W15 00402- Primary PROTECTION DIST <br /> Address: 21390 MAIN ST NE <br /> AURORA OR 97002 <br /> ,,. .. LTCNSEDPROFESSONA INPOR ATrOxti(: <br /> Business Name License Address - Phone <br /> AMERICAN ON SITE Installer/Pu 38346 31881 S HWY 213 MOLALLA OR 503-829-7600 <br /> mper 97038-0857 <br /> License <br /> '✓' .. .,..M ., ad*'x .. ..;,...,y....'h.. asp :.... ,_ .....�.�W :, r.. ,,.Y" �� .. .xf.? ",'� .a°�3 _':.. _. .: <br /> Fee Description Quantity Amount <br /> Site evaluation-Commercial facility by design capacity 500.00 GPD $860.00 <br /> gallons per day <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $960.00 <br /> Note:This may not include all the fees required for this project. <br /> • <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:09/07/2023 1 std_BuildingApplication pr <br />