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MARION COUNTY <br /> �{ = Building Application 5155 Silverton Rd NE <br /> anon Salem,OR 97305 <br /> County 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> OREG'ON <br /> 555-22-009733-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: ALVAND LLC <br /> PO BOX 3772 <br /> SALEM, OR 97302 <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: NEW INSTALL 3 BDRM SFD <br /> E f _„5.. <br /> £ �� � �� � �� � � ;iaO6$ITI�.ZNFOIt1�fATION �, <br /> Property Address: Parcel: Owner: ALVAND LLC <br /> 6855 Skyline Rd S,Salem,OR 97302 083W19C 00600-Primary <br /> Address: PO BOX 3772 <br /> SALEM OR 97302 <br /> x „ A. 'x_> ..h= _...... " ,. iLICENISE P,ROFES trai AL TNFORMATifl -A . it. __ a :i li';. a , ! ,� <br /> Business Name License Address -Phone <br /> 3;7147 ,j,�'t s-. .F &'�* FLif ,tr i,. '"saw�'P"" s, ,'„b.y ,,,-1, 'B 3 sMe IDS'• .'Ore'; 'sx,�, <br /> Y <br /> Fee Description Quantity Amount <br /> Install-Standard subsurface -by gallons per day 1.00 GPD $1,010.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $1,110.00 <br /> Note:This may not include all the fees required for this project. <br /> • <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: 10/24/2022 1 std_BuildingApplication_pr <br />