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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Manor Salem,OR 97305 <br /> County Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> o.R.E.G O N <br /> 555-23-004764-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Straight Flush, Inc. <br /> 3690 Kashmir Way. SE <br /> Salem, OR 97317 <br /> • No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: MAJ REP: 3 BDRM SFD <br /> l .; .,Fri. efi,, t, .. . w„. v ,5.. #0 SITE TNFORMA*4:1C I M , ll.,l,,,. ;. , .,,,,, r. ,.,, .. .,. <br /> Property Address: Parcel: Owner: STROHMEYER,RALPH L& <br /> 10177 Stayton Rd Se,Aumsville,OR 97325 091W18D 00700-Primary STROHMEYER,LORETTA <br /> Address: 10177 STAYTON RD SE <br /> AUMSVILLE OR 97325 <br /> ,u.. ` .; „DAt . to IJCENS' PROFESSIONAI.;INFO•I MATION . '-h G <br /> Business Name License Address Phone <br /> STRAIGHT FLUSH,INC. Installer 36323 3690 KASHMIR WAY,SE SALEM OR 97317 503-370-7321 <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:06/05/2023 1 std_BuildingApplication pr <br />