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Building Application 51555ilvertonR MARION COUNTY <br /> NTY <br /> d NE <br /> l'ldnon Salem,OR 97305 <br /> County Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-22-010645-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Ken Tooze Excavation, Inc <br /> 8624 Blackhawk Ct 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]ALT TO MOVE TANK AND 2 DF LINES <br /> Property Address: Parcel: Owner: WEBB, EUGENE LEE <br /> 8188 Valley Way Se,Turner, OR 97392 083W36A 00500 - Primary <br /> Address: 8188 VALLEY WAY SE <br /> TURNER OR 97392 <br /> hum LICENSED PROFESSIONAL INFORMATION <br /> Business Name License Address Phone <br /> KEN TOOZE EXCAVATION,INC Installer 39231 8624 BLACKHAWK CT SE SALEM OR 97317 (50-3)-390- <br /> License <br /> PERMIT FEES a <br /> Fee Description Quantity Amount <br /> Alteration (major) 1.00 Ea $745.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $845.00 <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: 11/22/2022 1 std_BuildingApplication pr <br />