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• t MARION COUNTY <br /> Building Application <br /> Silverton Rd NE <br /> MarionSalem,OR 97305 <br /> Coupe 503-588-5147 <br /> ......... ........ . . <br /> Permit NA FAX: 503-588-7948 <br /> o R.E c:o, ., <br /> 555-23-008430-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Straight Flush, Inc. <br /> 3690 Kashmir Way. SE <br /> Salem, OR 97317 <br /> (X Ai §h <br /> ,,, .,.x� �. %. . � .�a ,. ,�ro��k?;..« ,'�a�,� <D ,. � < .��.�,_..,.•.. _ - ;. � n �'� b..,;�. ,,.�,... ,. ,,, Lai.b .9,.,R. , <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Residential $0.00 <br /> Description of Work: MIN ALT: 4 BDRM SFD (TO LEGALIZE TANK) <br /> ^ <br /> p <br /> a .. ,, ,� .., � el'_ .;�,r� . ,�zt<.€h � sfr �. ��Ge,.,.:,.� _ ����,�... ..It! , 9 - �:. - ,v u_;'€ _ ... a , .e° <br /> Property Address: Parcel: Owner: LYI LE,JOHN FREDRICK JR <br /> 7057 Rosedale Ln S,Salem,OR 97306 083W28B 00600-Primary <br /> Address: 7057 ROSEDALE LN S <br /> SALEM OR 97306 <br /> Business Name License Address Phone <br /> STRAIGHT FLUSH,INC. Installer 36323 3690 KASHMIR WAY,SE SALEM OR 97317 503-370-7321 <br /> License <br /> .: a.vw <br /> Fee Description Quantity Amount <br /> Alteration (minor) 1.00 Ea $440.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $540.00 <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:10/06/2023 1 std_BuildingApplication.pr <br />