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,.. .. . <br /> •;,, � MARION COUNTY <br /> — — Building Application 5155 Silverton Rd NE <br /> Mn 4' Salem,OR 97305 <br /> County 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> o.R.E.G <br /> 555-23-004277-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Owen Construction, Inc. <br /> P.O. Box 21150 <br /> Keizer, OR 97307 <br /> ,,,,�;,,,.�. .<.,,F . ��--.. ..r .. ..•.,t .. s.,d.� c „n ..,�,,,�,� 1 �r.;,* JM :. .::':» ....Cte. -x •.�... ..., <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> • None specified Single Family Dwelling $0.00 <br /> Description of Work: NEW INSTALL: 4 BDRM SFD <br /> ]OB SITE INFORMATION' <br /> Property Address: Parcel: Owner: SEAMAN,ADAM M <br /> 9401 Donald Ln Se,Turner,OR 97392 092W06B 03700- Primary <br /> Address: 1453.IORDAN DR S <br /> SALEM OR 97302 <br /> LICENSEDPi,E)FE9SI.ONALrINi t3RMATtOI:t...O... £. .s , . . ,.s..i= <br /> Business Name License Address Phone <br /> OWEN CONSTRUCTION,INC. Installer 38534 P.O.BOX 21150 KEIZER OR 97307 (50-3)-390- <br /> License <br /> E �� `�3� � n�u� f fir¢ s��a yr � �,.q � �, �^ r,. � ����:.2 <br /> .., EUI I +4," n.. h c,. ..,� A I.ER <br /> Fee Description Quantity Amount <br /> Install:Standard subsurface -by gallons per day 450.00 GPD $1,010.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $1,110.00 <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:05/1e/2023 1 std_BuildingApplication_pr <br />