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og4[ n, MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Mc?tZ0!! Salem,OR 97305 <br /> COunty 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> O R.E G:O.N' <br /> 555-23-003052-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: E. D. Hughes Excavating, Inc. <br /> Po Box 1082 <br /> Corvallis, OR 97339 <br /> AYPE <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Manufactured Dwelling $0.00 <br /> #ppDescription of Work: MAJ REP: 2 BDRM MH <br /> 4,o0 SITE 4NOoRMATtoN. L�.. <br /> Property Address: Parcel: Owner: CASEBEER, RYAN SCOTT <br /> 1299 Ankeny Hill Rd Se,Jefferson,OR 97352 093W22A 00300-Primary <br /> Address: 1299 ANKENY HILL RD SE <br /> ]EFFERSON OR 97352 <br /> LICENSE© PROFESSIONAL INFORMATTONk ; ,z s <br /> Business Name License Address Phone <br /> E.D.HUGHES EXCAVATING,INC. Installer 35303 PO BOX 1082 CORVALLIS OR 97339 (54-1)-753- <br /> License <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:04/13/2023 1 std_BuildingApplication_pr <br />