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•„ ,,,,� � MARION COUNTY <br /> 5155 Silverton Rd NE <br /> Building Application Salem,OR97305 <br /> Ifiro j 503-588-5147 <br /> Permit NA <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-21-010181-PRMT-01 <br /> www.co.marion.or.us building@co.marion.or.us <br /> • <br /> Applicant: Lone Pine Corner Septics Inc. <br /> 8778 Cascade Hiahway. NE <br /> Silverton, OR 97381 <br /> de YYORK 3 h <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified None specified $0.00 <br /> Description of Work: FIRE-MIN REP for PLASTIC COVER/ELEC <br /> 7-7.77.77 <br /> 013 i<I E hIIFORM AT1QNl <br /> Property Address: Parcel: Owner: EGGERT,JONATHAN A <br /> 9565 Elkhorn Woods Cir Se, Lyons,OR 97358 093E02DD00500- Primary <br /> Address: 7858 KATHERINE ST NE <br /> KEI <br /> mow.,, ,..,. LICENSED PROF„ESSIONAL,INFORMATION,, kF zER 0Rg97 <br /> Business Name License Address Phone <br /> LONE PINE CORNER SEPTICS INC. Installer 37003 8778 CASCADE HIGHWAY,NE SILVERTON (50-3)-873- <br /> License OR 97381 <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:10/21/2021 1 std_BuildingApplication_pr <br />