Laserfiche WebLink
�•, .. MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> MarionSalem,OR 97305 <br /> County 503-588-5147 <br /> :R.E' : <br /> Permit NA FAX: 503-588-7948 <br /> Q G O,N;: <br /> 555-23-008380-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: NEWKIRK, ROSS <br /> 17605 PAINTER LOOP RD NE <br /> HUBBARD, OR 97032 <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Commercial $0.00 <br /> Description of Work: NEW INSTALL FOR FUTURE COMM BLDG W/2 EMPLOYEES <br /> Property Address: Parcel: Owner: NEWKIRK, ROSS& <br /> 17605 Painter Loop Ne, Hubbard,OR 97032 041W34CC00400- Primary NEWKIRK,SHELLEE <br /> Address: 17605 PAINTER LOOP RD <br /> NE <br /> HUBBARD OR 97032 <br /> ,rq4� .:- . . -, r ..` iCENSEL�1�Rt1FESSTFie1L TN s®RNFATItO ';. a t . t: <br /> Business Name License Address Phone <br /> SEE PROPERTY OWNER INFORMATION Owner OWNER <br /> (Prone <br /> V <. f 4 P. .,u't r` C <br /> Fee Description Quantity Amount <br /> Install -Standard subsurface -by gallons per day 300.00 GPD $1,050.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $1,150.00 <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:10/04/2023 i std_BuildingApplication pr <br />