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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> _ Salem,OR 97305 <br /> frlarion <br /> 503-588-5147 <br /> County Permit NA FAX: 503-588-7948 <br /> o RE G •O•N <br /> 555-22-002400-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: VASSA BUDUNOV <br /> 14765 UNION SCHOOL RD <br /> WOODBURN, OR 97071 <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified None specified $0.00 <br /> Description of Work: INSTALL FOR FUTURE 3 BDRM SFD <br /> _ 3OB SITE,INEORMATION <br /> Property Address: Parcel: Owner: ALAGOZ, EVFIMIA <br /> 1755 Big Al Ln Ne,Woodburn,OR 97071 051W09B 00402- Primary <br /> Address: 2233 MOLALLA RD NE <br /> WOODBURN R 97071 <br /> ,LICENSED;PROFESSIONAL INFORMATION <br /> Business Name License Address Phone <br /> SALIENT HOMES,LLC Installer 38962 PO BOX 9135 SALEM OR 97305 (50-3)-871- <br /> License <br /> PERMI.1 FEES <br /> Fee Description Quantity Amount <br /> Install-Standard subsurface -by gallons per day 1.00 GPD $750.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $850.00 <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:03/21/2022 1 std_BuildingApplication_pr <br />