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MARION COUNTY <br /> Silverton Rd NE <br /> Building Application 5155 Salem,OR97305 <br /> Cam.. 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> O R EGO N <br /> 555-21-011479-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: STONE, KEVIN LANZ <br /> 1789 BEST RD NW <br /> SALEM, OR 97304 <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 FOR 4 BDRM RES <br /> 390 SITE SFORMATIQN <br /> Property Address: Parcel: Owner: STONE, KEVIN LANZ <br /> 335 Janice Ct, Detroit,OR 97342 105E02DA07400- Primary <br /> Address: 1789 BEST RD NW <br /> SALEM OR 97304 <br /> LICENSEQ PROFESSIONAL;~INFORMATION <br /> Business Name License Address Phone <br /> GARBER EXCAVATING,INC. Installer 38525 P.O.BOX 1032 DALLAS OR 97338 (50-3)-623- <br /> License <br /> PERMIT FEES <br /> Fee Description Quantity Amount <br /> Install-ATT- by gallons per day 450.00 GPD $990.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $1,090.00 <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:11/17/2021 1 std_BuildingApplication_pr <br />