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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> �au 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> OREGON <br /> 555-22-002106-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Zollinger Excavating, Inc. <br /> 6771 Peter Rd. SE <br /> Aumsville, OR 97325 <br /> TYPE OF WORK,. <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Commercial $0.00 <br /> Description of Work: ADDN 1500 GAL TANK FOR NEW RESTROOMS- NO ADDITONAL EMPLOYEES <br /> x3 <br /> 30B%SITE INFORMATION <br /> Property Address: Parcel: Owner: PRATUM CO-OP <br /> 8955 Sunnyview Rd Ne,Salem,OR 97305 072W13CA00100- Primary WAREHOUSE <br /> Address: PO BOX 13009 <br /> SALEM OR 97309 <br /> Business Name License Address Phone <br /> ZOLLINGER EXCAVATING,INC. Installer 36749 6771 PETER RD.SE AUMSVILLE OR 97325 (50-3)-873- <br /> License <br /> nr _ -..'; PERM...- FEES � �� <br /> Fee Description Quantity Amount <br /> Alteration(minor) 1.00 Ea $175.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $275.00 <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:03/09/2022 1 std_BuildingApplication_pr <br />