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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Marion Salem,OR 97305 <br /> County 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> OREGON <br /> 555-23-003298-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Pacific Northwest Excavating, LLC <br /> PO Box 61 <br /> Wilsonville, OR 97070 <br /> TYPE OF WORK <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: REPL 3 BDRM SFD WITH 3 BDRM SFD SAME LOCATION. NEW TANK AND DF <br /> JOB SITE INFORMATION <br /> Property Address: Parcel: Owner: BRENTANO AG <br /> 3217 Horseshoe Lake Rd Ne, St Paul,OR 043W24A 01000 - Primary ENTERPRISES LLC <br /> 97137 Address: PO BOX 275 <br /> ST PAUL OR 97137 <br /> ,a, LICENSED PROFESSIONAL INFORMATION <br /> Business Name License Address Phone <br /> PACIFIC NORTHWEST EXCAVATING, Installer 3RH t6 PO BOX 61 WILSONVILLE OR 97070 (50-3) -329- <br /> License <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:04/21/2023 1 std_BuildingApplication_pr <br />