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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> 503-588-5147 <br /> Courgy <br /> Permit NA FAX: 503-588-7948 <br /> 0R.E'.6:O.N <br /> 555-23-004352-PRMT-01 <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Lone Pine Corner Septics Inc. <br /> 8778 Cascade Hiahway. NE <br /> Silverton, OR 97381 <br /> . 4»W A iJ—KC V.} ^4'. l „ v,<. e 4 oit <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified None specified $0.00 <br /> Description of Work: MA) REP: REPLACE FAILING DRAINFIELD <br /> phasamul, <br /> Property Address: Parcel: Owner: PALLAS, DENNIS W& <br /> 18508 Mt Angel Scotts Mills Rd Ne,Scotts Mills, 061E16D 00700-Primary PALLAS,CHERYL L <br /> OR 97375 Address: 18508 MT ANGEL SCOTTS <br /> MILLS RD NE <br /> SCOTTS MILLS OR 97375 <br /> i E . tr �x ` ,LTCENS D9PROFESSII NAL::;TNFORMA O �, � �b <br /> Business Name License Address Phone <br /> LONE PINE CORNER SEPTICS INC. Installer 37003 8778 CASCADE HIGHWAY,NE SILVERTON (50-3)-873- <br /> License OR 97381 <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:05/23/2023 1 std_BuildingApplication pr <br />