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;, sum MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Marian Salem,OR 97305 <br /> County 503-588-5147 <br /> Site Evaluation NA FAX: 503-588-7948 <br /> O R.E G:O.N <br /> 555-23-008773-EVAL <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: KRAFT, RICHARD <br /> 3661 KASHMIR WAY SE <br /> SALEM, OR 9731713: �,! <br /> _, , �/'P'.. � .� _ , lk%.[I�G OR,,..,M �a 5�.' ?. , ,%a` j, 5, z .� ..,1 <br /> 11 <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Commercial $0.00 <br /> Description of Work: SE: FUTURE RESTROOM BLDG FOR STORAGE UNITS. <br /> fs , r';. $ �"..,nc. a ;"er ;O rs.. *NfATI <br /> c �, <br /> B SIT�IN>`fJR �N�.� <br /> Property Address: Parcel: Owner: 36TH STREET PROPERTY <br /> 5144 36Th Ave Se,Salem,OR 97317 082W18B 01000-Primary LLC <br /> Address: 3661 KASHMIR WAY SE <br /> SALEM OR 97317 <br /> cfc ' 4 5 r-&�+r,�, � 'e�°y a0 ^r s k' K: � 3Y€-. 4s�., , ��� <br /> h LICENSED PROFESSION`AL.eINFORMA1TONh ,. E . _ x <br /> Business Name License Address Phone <br /> da ;w YF "9r 1 - . ,g A o ,x' per. y _ <br /> a^ EIrC FEES "' <br /> Fee Description Quantity Amount <br /> Site evaluation-Commercial facility by design capacity 1.00 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 /> 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:10/18/2023 1 std_BuildingApplication_pr <br />