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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> Mation <br /> county 503-588-5147 <br /> Commercial Mechanical <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-23-005490-MECH <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Adam Hands <br /> ROBERT LLOYD SHEET METAL INC <br /> PO BOX 307 <br /> INDEPENDENCE, OR 97351 <br /> Mechanical Specialty Code Edition: 2022 <br /> Type of Work: Category of Construction: Valuation: <br /> New Commercial $247,900.00 <br /> Description of Work: HAYSTACK COTTAGE HVAC system for new housing building. Includes ERV's and split-system AC <br /> units. <br /> �;,,. � ¢°. ��"h a y ,. <br /> II +,. ,4'a s. .o `,s;a .a z ©vax' .au, ��1 � ;.,<,. `ys,� ., a'<.3s ,.�r<,. r <br /> Property Address: Parcel: Owner: OREGON YOUTH AUTHORITY <br /> 2630 N Pacific Hwy,Woodburn,OR 97071 051W09 00100-Primary <br /> Address: 530 CENTER ST NE#200 <br /> L <br /> E <br /> 0 <br /> a ,.., g is <br /> `'�,�"... � � :.C>�NSll����., Ir „ ATIOI� <br /> Business Name License Address Phone <br /> ROBERT LLOYD SHEET METAL INC (LHR) 27-80LHR PO BOX 307 INDEPENDENCE OR 97351 503-838-3863 <br /> Electrical <br /> Contractor, <br /> Limited <br /> Maintenance <br /> Specialty <br /> HVAC <br /> ROBERT LLOYD SHEET METAL INC (CLE) 27-81CLE PO BOX 307 INDEPENDENCE OR 97351 503-606-5007 <br /> Electrical <br /> Contractor, <br /> Limited <br /> Energy <br /> ROBERT LLOYD SHEET METAL INC (CRE) 27-82CRE PO BOX 307 INDEPENDENCE OR 97351 503-838-3863 <br /> Electrical <br /> Contractor, <br /> Restricted <br /> Energy <br /> DAVID J RUSH (S) 4103S 2151 THREE LAKES RD SE UNIT 82 541-990-0305 <br /> Electrician, ALBANY OR 97322 <br /> General <br /> Supervising <br /> ROBERT LLOYD SHEET METAL INC CCB 62476 PO BOX 307 INDEPENDENCE OR 503-606-5007 <br /> 97351-0307 <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:06/27/2023 i std_BuildingApplication pr <br />