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44, <br /> MARION COUNTY <br /> -72 Building Application 5155 Silyetton Rd NE <br /> MarionSalem,OR 97305 <br /> county• Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> 0.R.E :G: O.N <br /> 555-23-007231-PRMT <br /> www.co.marion.or.us x ;;tif?' building@co.marion.or.us <br /> Applicant: ACTION DRAIN &ROOTER SERVICE <br /> 3690 Kashmir Way. SE <br /> Salem, OR 97317 <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: MA]REP: 3 BDRM SFD <br /> y Y <br /> �F j<� n.�., f a.... ,� oa s IN 6r 4 _...TI a.7.A2«�'�°k, <br /> Property Address: Parcel: Owner: CLEMENT,MARIE ESTHER <br /> 8545 Woodard Ave Se,Salem,OR 97317 072W36C 01600- Primary <br /> Address: 8545 WOODARD AV SE <br /> SALEM ALEM OR 97317 <br /> I W � i3 : s � . �; gYlij ?t W6 1 ?NFROW-04,5 ? , ; Z 4„ <br /> Business Name License Address Phone <br /> ACTION DRAIN&ROOTER SERVICE Installer 36323 3690 KASHMIR WAY,SE SALEM OR 97317 503-932-2401 <br /> License <br /> pz ° ni, ,i ,0E ..., s t ' <br /> Fee Description Quantity Amount <br /> Repair(major)-single family dwelling 1.00 Ea $640.00 <br /> DEQ Surcharge 1.00 Automatic - $100.00 <br /> Total Fees: $740.00 <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:08/24/2023 1 std_BuildingAppllcation pr <br />