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4 MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> County Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-20-007841-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: THOMAS &BARBARA SOVA <br /> THOMAS &BARBARA <br /> 1284 32 AV NW <br /> SALEM, OR 97304 <br /> •j TYPE OF WORK <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Manufactured Dwelling $0.00 <br /> Description of Work: NEW INSTALL 4 BDRM <br /> 30B SITE INFORMATION' , <br /> Property Address: Parcel: Owner: THOMAS&BARBARA SOVA <br /> 703 1St St, Scotts Mills, OR 97375 061E15CD00102- Primary <br /> Address: 1284 32 AV NW <br /> SALEM OR 97304 <br /> LICENSED PROFESSIONAL INFORMATION r `' <br /> Business Name License Address Phone <br /> OREGON SEWER&DRAIN Installer/Pu 38968 PO BOX 1282 SILVERTON OR 97381 (50-3)-874- <br /> mper License <br /> PERMIT FEES <br /> Fee Description Quantity Amount <br /> Install-ATT- by gallons per day 450.00 GPD $990.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $1,090.00 <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: 11/02/2020 std_BuildingApplication_pr <br />