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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Marion Salem,OR 97305 <br /> county Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGO S <br /> 555-23-007123-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: HAYES, PHILI^ T&HAYES,YURIE J <br /> 7783 JACKSON ILL RD SE <br /> SALEM, OR 9730. <br /> d f"� ry�� ��{///gy�p <br /> ..m.� x ' ✓,.'.. .. .. .ef` ,. , .., .TYlsl -P�MifVllrh <br /> No Code Edition Sped -d <br /> Type of Work: Category of Constructi' : <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: MA]ALT TO REPL DRAINFIELD <br /> aav <br /> 4 FOR OA ., ' . .,...,. <br /> Property Address: rcel: Owner: HAYES,PHILIP T&HAYES, <br /> 7783 Jackson Hill Rd Se,Salem,OR 97306 08 2. 01500-Primary YURIE J <br /> Address: 7783 JACKSON HILL RD SE <br /> SALEM OR 97306 <br /> Business Name Li•-nse Address Phone <br /> GAMBLES TRACTOR SERVICE Installer 38872 PO BOX 995 CORVALLIS OR 97339 541-990-5808 <br /> �. License, <br /> "`usi :w- i W . ; RMIT�F <br /> Fee �.., <br /> Description Quantity Amount <br /> Alteration (major) 1.00 Ea $800.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $900.00 <br /> Note:This may not include all the fees required .r this project. <br /> 5ei i\ <br /> ia p1 z <br /> v <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:08/22/2023 1 std_BuildingApplication pr <br />