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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> /'larion Salem,OR 97305 <br /> County 503-588-5147 <br /> Investigation NA FAX: 503-588-7948 <br /> OREGON <br /> 555-23-010270-IVGN <br /> www.co.marion.or.us building@co.marion.or.us <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified None specified $0.00 <br /> Description of Work: POSS INSTALL OF SEPTIC SYSTEM WITHOUT PERMIT <br /> JOB SITE INFORMATION • <br /> Property Address: Parcel: Owner: EVENSON, DAVIS& <br /> 6699 Skyline Rd S, Salem,OR 97302 083W19C 00300- Primary EVENSON,TRACIE <br /> Address: PO BOX 12394 <br /> SALEM OR 97309 <br /> LICENSED PROFESSIONAL INFORM. <br /> Business Name License Address Phone <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 /> Pnnted on: 12/21/2023 1 std_BuildingApplication pr <br />