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MARION COUNTY <br /> -ti Building Application 5155 Silverton Rd NE <br /> anon Salem,OR 97305 <br /> Coup Permit NA503-588-5147 <br /> FAX: 503-588-7948 <br /> Q-.R E`.G 0 SN <br /> 555-24-004756-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 � TYPE.OF WORK <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Manufactured Dwelling $0.00 <br /> Description of Work: MIN REP: REPL TANK FOR 2 BDRM MH <br /> �,. 7E, �, «t »x� � '°� & ��� <br /> ..�:�� .� �,�� ..,. ,. � . e .�„ <.,�e �,�� u�. e.4� � C>�B�T> E�FiY,Rl�1�►TICirt�E� ,� ��� �A �� ;�:,_ ����,� �� � =..x 4 <br /> Property Address: Parcel: Owner: KIRKPATRICK,JAMES R <br /> 49690 North Santiam Hwy Se,Idanha,OR 106E22AB01200-Primary <br /> 97350 Address: 18995 SW BUTTERNUT ST <br /> ALOHA OR 97078 <br /> .. .za,J. .l,,.w.d'.:'.3..-u 4<m,,,,. fierg, .FOdyAs. : @ '".,h. Cgl:S14 ceF P lK4 4,PCOR. Ea ONZI:la- E. <br /> Business Name License Address Phone <br /> OWEN CONSTRUCTION,INC. Installer 38534 P.O.BOX 21150 KEIZER OR 97307 503-390-6936 <br /> License <br /> R 5. + Rc� 9'+� 4 <br /> :.....»..,�.. �*. . ��r,_» .,�': t ,. ..., u .>n-.ar�xu:�3Y�w.,•xa.5waa,;,� ..: <br /> Fee Description Quantity Amount <br /> Repair(minor)-single family dwelling 1.00 Ea $320.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $420.00 <br /> Note:This may not include all the fees required for this project.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:06/20/2024 1 std_BuildingApplication pr <br />