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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> MarionSalem,OR 97305 <br /> County 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> OREGON <br /> 555-23-009795-PRMT <br /> www.co.marion.or.us building@co.manon.or.us <br /> Applicant: Oregon Sewer& Drain <br /> PO Box 1282 <br /> Silverton, OR 97381 <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Accessory Structure $0.00 <br /> Description of Work: MIN ALT: ADD TANK FOR FUTURE BATHROOM IN EXISTING SHOP <br /> ,rev yo ^z <br /> Property Address: Parcel: Owner: DILLON,JUSTIN W& <br /> 3939 Riverdale Rd S, Salem, OR 97302 083W06C 00300- Primary DILLON, GAYLA M <br /> Address: 3939 RIVERDALE RD S <br /> SALEM OR 97302 <br /> Business Name License Address Phone <br /> OREGON SEWER&DRAIN Installer/Pu 38968 PO BOX 1282 SILVERTON OR 97381 503-874-9414 <br /> mper <br /> License <br /> ., �.. , `a_.,,,,�.,���. .. _, ate,„ <br /> Fee Description Quantity Amount <br /> Alteration (minor) 1.00 Ea $440.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $540.00 <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: 11/30/2023 <br /> 1 std BuildingApplication pr <br />