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MARION COUNTY <br /> Building Application 5155 Siiverton Rd NE <br /> Marion Salem,OR 97305 <br /> County 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> O R E'..G O N <br /> 555-23-006940-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Eco, Inc <br /> PO Box 1401 <br /> Aumsville, OR 97325 <br /> �`' oK �+ .� so 3^GAse a �O RIIO�. , k$b �z. 3a.,..n .„-a a fit1 ¢ ! c..a.q., YEA <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: FIRE-MA) REP: 3 BDRM SFD TO REPL 3 BDRM SFD(NEW TANK AND DF) <br /> ..,�.�a ;' y , ; "°:+�ytat r .108 ss, - -,��° -�"' • �, � - six*^' <br /> ., < :�.�� s. . .�Y�. 'da. € � ,�gx,„�. .ten. w ��,. ,.C�9,;�„ ..d 01 <br /> Property Address: Parcel: Owner: ANDERSON LT <br /> 155 Santiam Ave W, Detroit,OR 97342 105E02DA02700-Primary <br /> Address: 6254 SKYLINE RD S <br /> !� C�rC+ 1�11 �E` f111ctYy II�3l tit SALEM OR 97306 <br /> 5 ..,.. - .. � ,E ..aa.,.. '��,,I: E:> NS.. . P!ROFESSIONAS INFORMATIONS ., k.-a f � 1 ; <br /> Business Name License Address Phone <br /> ECO,INC Installer/Pu 39361 PO BOX 1401 AUMSVILLE OR 97325 503-949-2772 <br /> mper <br /> License <br /> F <br /> Fee Description Quantity Amount <br /> Repair(major) -single family dwelling 1.00 Ea $640.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $740.00 <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:08/15/2023 1 std_BuildingApplicationjr <br />