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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Marion Salem,OR 97305 <br /> County Site Evaluation NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-20-009306-EVAL <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: NEW CROSSING HOMES LLC <br /> 6106 ROLLETTI DR SE <br /> SALEM, OR 97306 <br /> TYPE OF WORK <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified None specified $0.00 <br /> Description of Work: SE REPL 3 BDRM MANE HM W/NSFD 8 BDRM *SAME FOOTPRINIT <br /> JOB SITE INFORMATION <br /> Property Address: Parcel: Owner: KOVALCHUK,MIKHAIL <br /> 15982 North Santiam Hwy Se,Stayton, OR 091E18 00300- Primary <br /> 97383 Address: 2911 RED FIR CT NW <br /> -- z, <br /> SALEM OR 97304 <br /> Ms LICENSED PROFESSIONAL INFORMATION <br /> Business Name License Address Phone <br /> PERMIT FEES - <br /> Prelpsk- <br /> Fee Description Quantity Amount <br /> Site evaluation- Single family dwelling 1.00 Ea $625.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $725.00 <br /> Note: This may not include all the fees required for this project. <br /> V "; ZG <br /> 41 <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: 12/23/2020 std_BuildingApplicaticn_pr <br />