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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Marton Salem,OR 97305 <br /> County 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> OREGON <br /> 555-22-009685-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: MCKILLIP, CODY&MCKILLIP, MATRASA PAIGE <br /> 20672 RIVER RD NE <br /> ST PAUL, OR 97137 <br /> TYPE OF WORK <br /> �,�.._,_�.•� _,.___..._� .ems,,_ n.;. _... :_.o..�u. <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: MAJ REP- NEW TANK AND DRAINFIELD <br /> JOB SITE INFORMATION, <br /> Property Address: Parcel: Owner: MCKILLIP, CODY& <br /> 20672 River Rd Ne,St Paul,OR 97137 042W17 00200 - Primary MCKILLIP, MATRASA PAIGE <br /> Address: 20672 RIVER RD NE <br /> ST PAUL OR <br /> LICENSEl3 PROFESSIONAL INFORMATION <br /> Business Name License Address Phone <br /> PERMIT FEES <br /> Fee Description Quantity Amount <br /> Repair(major) -single family dwelling 1.00 Ea $600.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $700.00 <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: 10/21/2022 1 std_BuildingApplication.pr <br />