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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Nation <br /> 97305 <br /> County 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> O R.E G:0 N <br /> 555-22-006875-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Flow Line Construction LLC <br /> 11805 State St <br /> Salem, OR 97317 <br /> _.9`_-_" _x. _„M•,•§ �v,-� . : .��� :='�. _ -<a „�� ���['°���. .. .�•"' - _ ,._ ., �,,.-:«.tS:...aa _...,.r-� �.,,.� r'�xxi1Pt„ <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: MINOR REPAIR TANK ONLY <br /> .SOB SITE I ORMATIO <br /> Property Address: Parcel: Owner: KINGMAN, MARGARET C <br /> 7808 Champoeg Rd Ne,St Paul,OR 97137 042W02 01200- Primary <br /> Address: 7808 CHAMPOEG RD NE <br /> ST PAUL OR 97137 <br /> 17 . _r - - 1 1..'.,{..K . . . LICENSED PRC FESSI NAL INFORMATIOG , .i.. W, . #, „ r i''-,�� £.. �;'. <br /> Business Name License Address Phone <br /> FLOW LINE CONSTRUCTION LLC Installer 39474 11805 STATE ST SALEM OR 97317 (50-3)-871- <br /> License <br /> "Fee Description Quantity Amount <br /> Repair(minor) -single family dwelling 1.00 Ea . $305.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $405.00 <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:08/02/2022 1 std_BuildingApplication.pr <br />