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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> Count; 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> OR.EG' 0N <br /> 555-21-011477-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Garber Excavating, Inc. <br /> P.O. Box 1032 <br /> Dallas, OR 97338 <br /> TYRE 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 ATT INSTALL for 4 BDRM SFD <br /> ,....�.��.�. ' � -� r�oBs�T � FORt�aTio� . .. <br /> Property Address: Parcel: Owner: COLBY, MARVIE L JR <br /> 355 Janice Ct, Detroit,OR 97342 105E02DA07200-Primary <br /> Address: 2623 ANDREW AVE NW <br /> SALEM OR 97304 <br /> LICENS#D':PROFESS ONAL 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 1.00 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 />