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MARION COUNTY <br /> 5 <br /> Building Application 155 Silverton Rd NE <br /> '17a`rbn-:_ Salem,OR 97305 <br /> County Permit R 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-20-009261-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Norwood Excavation, LLC <br /> 14140 S Soanoler Rd <br /> Oregon City, OR 97045 <br /> 3 � <br /> TYPE,OF WORK <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: NEW INSTALL: 3 BDRM SFD <br /> s.� _._OB SITNFORMATID4.4w,,,,.,,,, <br /> Property Address: Parcel: Owner: ING,IAN M.AND CHRISTINA <br /> 7786 Dovich Ln Se,Salem,OR 97317 082W30DB00300- Primary <br /> Address: PO BOX 2855 <br /> SALEM OR 97308 <br /> I CENSEmPRaFESS 4NAL'INFORMATION <br /> Business Name License Address Phone <br /> NORWOOD EXCAVATION,LLC Installer 39188 14140 S SPANGLER RD OREGON CITY OR (97-1)-241- <br /> License 97045 <br /> __._._.. <br /> Fee Description Quantity Amount <br /> Install-Standard subsurface -by gallons per day 450.00 GPD $750.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $850.00 <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:12/22/2020 1 std_BuildingApplication_pr <br />