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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Nat-ion Salem,OR 97305 <br /> County Permit NA 503-588-5147 <br /> `...... .:... .._ FAX: 503-588-7948 <br /> OREe o: <br /> 555-23-009955-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Zollinger Excavating, Inc. <br /> 6771 Peter Rd. SE <br /> Aumsville, OR 97325 <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified None specified $0.00 <br /> Description of Work: NEW INSTALL FOR REPLACEMENT 3 BDRM SFD <br /> �OB`SITI INFORMA!lO.w. <br /> Property Address: Parcel: Owner: KNOLL, KARL <br /> 3224 Crooked Finger Rd Ne,Scotts Mills,OR 072E08D 00200-Primary <br /> 97375 Address: 3224 CROOKED FINGER RD <br /> NE <br /> SCOTTS MILLS OR 97375 <br /> . ..' a y f ENSl I1 PROFS O A TI�t s "i ATTbt '° t )`f a:: ' ,, <br /> Business Name License Address Phone <br /> ZOLLINGER EXCAVATING,INC. Installer 36749 6771 PETER RD.SE AUMSVILLE OR 97325 503-873-8927 <br /> License <br /> yxs e�y �- - �, a •a ya- a S i,' �. � � ¢ae` ,p •sz r a <br /> Fee Description Quantity Amount <br /> Install-Standard subsurface -by gallons per day 1.00 GPD $1,050.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $1,150.00 <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 an:12/08/2023 1 std_BuildingApplication_pr <br />