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*" MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> MarionSalem,OR 97305 <br /> councrj. Inquiry NA503-588-5147 <br /> FAX: 503-588-7948 <br /> o,a.E G o:N <br /> 555-24-006423-INQY <br /> www.co.marion.or.us building@co.marion.or.us <br /> t5 <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified None specified $0.00 <br /> Description of Work: ESE: 4 BDRM SFD (P24-004,LOT 1 OF 3) <br /> ,,, . .tip: .. t v�� r .: iB SIT ORI ATxol *se `'� <br /> Property Address: Parcel: Owner: KAYA,ANDREY <br /> 18936 Butteville Rd Ne,Aurora,OR 97002 041W30C 00100- Primary <br /> Address: 18926 BUTTEVILLE RD NE <br /> :APO,'; ` ` ¢ 4 LICENS L ROFESSIONAL INFO +[ TION H AURORA OR 97002 ' s <br /> Business Name License Address Phone <br /> Fee Description Quantity Amount <br /> Existing system evaluation report 1.00 Ea $650.00 <br /> DEQ Surcharge 1.00 Automatic $117.00 <br /> Total Fees: $767.00 <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 on:08/14/2024 1 std_BuildingApplication pr <br />