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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> MarionSalem,OR 97305 <br /> County Site Evaluation NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> DREG{ON <br /> 555-23-008787-EVAL <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Flow Line Construction LLC <br /> 11805 State St <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: SE FOR FUTURE 3BDRM SFD EASEMENT FOR 15992 STORMY DR NE(PREV SE VOIDED) <br /> OB SIT>r"TN.F RMATIO , <br /> Property Address: Parcel: Owner: KINCAID,JAMES LEWIS <br /> 15962 Stormy Dr Ne,Silverton, OR 97381 071E06D 02900- Primary <br /> Address: 4136 FOREST RIDGE RD NE <br /> SILVERTON OR 97381 <br /> R 'k `�..�"'�u`u ,a g 6q t I'LICENSi-ry PROI-E ` Ai iINFO OsF_._.G.s,.,..:e '*d;3a 1' <br /> Business Name License Address Phone <br /> FLOW LINE CONSTRUCTION LLC Installer 39474 11805 STATE ST SALEM OR 97317 503-871-2260 <br /> License <br /> Fee Description Quantity Amount <br /> Site evaluation -Single family dwelling 1.00 Ea $810.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: - $910.00 <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 />