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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> .,Comity Permit NA • <br /> 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-21-003166-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Action Drain &Rooter Service <br /> 3690 Kashmir Way. SE <br /> Salem, OR 97317 <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: MM REP: 3 BDRM SFD <br /> Property Address: Parcel: Owner: TAFT,ANISA&GARTH <br /> 4749 Riverdale Rd S,Salem,OR 97302 084W12C 00800- Primary <br /> Address: 4742 LIBERTY RD #476 <br /> SALEM OR 97302 <br /> �` _ _,_,: . . _ _ LICENSED PROFESSIONAL INFORMATION <br /> Business Name License Address Phone <br /> ACTION DRAIN&ROOTER SERVICE Installer 36323 3690 KASHMIR WAY,SE SALEM OR 97317 (50-3)-370- <br /> License <br /> p <br /> Fee Description Quantity Amount <br /> Repair(major)-single family dwelling 1.00 Ea $600.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $700.00 <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:03/26/2021 1 std_BuildingApplication_pr <br />