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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> MarionSalem,OR 97305 <br /> county503-588-5147 <br /> Site Evaluation NA FAX: 503-588-7948 <br /> OREGON <br /> 555-23-008464-EVAL <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: CONNOR LT&CONNOR, SEAN R TRE <br /> PO BOX 5 <br /> ST PAUL, OR 97137 <br /> -, r>"' `^,' r & r A - �. ,re`ydPj �" ` �,%, <br /> �.iU Via. �s • <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: SE FOR FUTURE 3BDRM SFD (PLA 23-032) <br /> • - : s <br /> r`�. � "�� � a�� te au�'�� ��"➢��Y '���x� "� �I-`��,a <br /> Property Address: Parcel: Owner: CONNOR LT&CONNOR, <br /> 20703 Riverside Dr Ne, St Paul, OR 97137 043W13D 00500 - Primary SEAN R TRE <br /> Address: PO BOX 5 <br /> ST PAUL OR 97137 <br /> Business Name License Address Phone <br /> PACIFIC NORTHWEST EXCAVATING, Installer 38846 PO BOX 61 WILSONVILLE OR 97070 503-329-5007 <br /> LLC License <br /> x .ter ,s ,r m 9 "J4yAJsfl F Fee Description Quantity Amount <br /> Site evaluation -Single family dwelling 1.00 Ea $810.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $910.00 <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 703..010. <br /> Printed on: 10/06/2023 1 std_BuildingApplication pr <br />