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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> COS 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> ORE G O N <br /> 555-23-001975-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: ELLIOTT, JUDE <br /> 3011 MAHALO CT SE <br /> SALEM, OR 97317 <br /> TYPE OF WORK <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Accessory Structure $0.00 <br /> Description of Work: MIN AL-: ADD PUMP TANK TO SHOP, :NTO ES HOME THEN, ES SYSTEM <br /> 30B SITE INFORMATION <br /> Property Address: Parcel: Owner: ELLIOTT LT <br /> 3011 Mahalo Ct Se, Salem,OR 97317 083W24A 01800 - Primary <br /> Address: 3011 MAHALO CT SE <br /> SALEM OR 97317 <br /> LICENSED PROFESSIONAL INFORMATION <br /> Business Name License Address Phone <br /> PERMIT FEES <br /> Fee Description Quantity Amount <br /> Alteration (minor) 1.00 Ea $415.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $515.00 <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:03/07/2023 1 std BuildinaApplicaticnpr <br />