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ii611 Building Application 5155 Silverton R MARION COUNTY <br /> NTY <br /> d NE <br /> MarlonSalem,OR 97305 <br /> County 503-588-5147 <br /> Permit NA AX: 503-588-7948 <br /> OREGON �" FE <br /> 555-21-004722-PRMT PP��"" <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Lone Pine Corner Septics Inc. <br /> 8778 Cascade Hiahway. NE <br /> Silverton, OR 97381 <br /> TYPE OF WOR <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Residential $0.00 <br /> Description of Work: FIRE MA] REPAIR REPL 2 BDRM RES W/2BDRM RES <br /> JOB SITE INFORMATION <br /> Property Address: Parcel: Owner: REYNOLDS,LOREN A <br /> 9535 Elkhorn Woods Cir Se, Lyons, OR 97358 093E02DC00500 - Primary <br /> Address: 9535 ELKHORN WOODS CR <br /> SE <br /> LYONS OR 97358 <br /> LICENSED PROFESSIONAL INFORMATION <br /> Business Name License Address Phone <br /> LONE PINE CORNER SEPTICS INC. Installer 37 003 8778 CASCADE HIGHWAY,NE SILVERTON (50-3)-873- <br /> License OR 97381. <br /> PERMIT FEES <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 /> Panted on:05/06/2021 std_BuildingApplication.pr <br />