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MARION COUNTY <br /> Building Application 5155SIIvertonRdNE <br /> .1'farion-_ Salem,OR 97305 <br /> ..county 503-588-5147 <br /> • Site Evaluation NA <br /> FAX: 503-588-7948 <br /> O'R.E•C:0.N <br /> 555-22-001984-EVAL <br /> www.co.marion.or.us bullding@co.marion.or.us <br /> Applicant: Owen Construction,Inc. <br /> P.O. Box 21150 <br /> Keizer,OR 97307 <br /> �'+'sa... *f'i.., .N , I' Y:�,4-:�N-:�.'�...., .,. ..:d,., <.��',.' - +... `s{'_..^'�ws.(-.•, .�&::4T-�„�*—:'saaj <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified None specified $0.00 <br /> Description of Work: SE: 3 BDRM SFD(LOT 4 OF 7,SUB 21-02) <br /> yi yfa'a �§ �� nhr�.�-�GK'�:...."...��°''i� �,. s4"�--^"f1�"'_- a ..,,".;>wxM�. x.. >u � .F. k� Witt? <br /> F-�-'"c t. "{: r 7 ram. ^x;.-€r +w t. • <br /> Property Address: Parcel: Owner: CARLILE,JASON S& <br /> 3915 Cloverdale Dr Se,Turner,OR 97392 092W06B 00500-Primary CARLILE,PAMELA J <br /> Address: 975 W ARNEZ ST <br /> MERIDIAN ID_83�3�646 <br /> � a�..'�7. Fr3'Ya'6& '"1'+�.,"'"`a 3-fin+:°+a-''Z�^ ...1 zA' .y '<'� +i "pJ h°' M f�i?'xa+ ^"S'i� 4 h�E. <br /> Let : , J -.�:•# . _s ;> i -frOAS .0.11.00W04 _A*10 r. Z 4 *W� x. � � _ }gip <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 /> '^'� Utz u , ttia �-,p <br /> R. W N 5` W M .r Z.AWA+; � z°T 'e"E;°«= .JS". 'h'" ` r M..MI a + + 8 ,v0 <br /> Fee Description Quantity Amount <br /> Site evaluation-additional lots 1.00 Ea $575.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $675.00 <br /> Note:This may not include all the fees required for this project. <br /> • <br /> • <br /> • <br /> • <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:03/04/2022 1 std BuildingAppllcatlon pr <br />