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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> MarionSalem,OR 97305 <br /> Country. Permit MA 503-588-5147 <br /> FAX: 503-588-7948 <br /> Q:R:E G:0 N <br /> 555-24-005040-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Eco, Inc <br /> PO Box 1401 <br /> Aumsville, OR 97325 n y� �r � �a� � "�'�`,`�"�� yb��s� � ,a � a TYGy�.�� �e�s�sORlb a � .r� �_+' 2`�� �d`Fe,�.��E�,��'�"�'. .:r r�<-. <br /> s .��'� �.r»..x� �� ,.��4 2�, �� ate ,��,3'y.+��e.��.., a&< ..�., r.. sy. �a .,, .� .d-�.-:F I' �€ .».,..,a > <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Accessory Structure $0.00 <br /> Description of Work: NEW INSTALL: ACCR WITH 2 BATHROOMS, OFFICES, MUSIC RM,WEIGHT RM AND MEETING ROOM. <br /> a, ., ,.. ,< 1 . x a . 1OB,SITE INI ORMATIQNL d i' i3.. <br /> „t'- cfz.. � �".P'r_�r n. m��.a�T, �.. . .� ..�. ,�-f x.�3 <br /> Property Address: Parcel: Owner: EVENSON, DAVIS& <br /> 6699 Skyline Rd S,Salem,OR 97302 083W19C 00300- Primary EVENSON,TRACIE <br /> Address: PO BOX 12394 <br /> LAM OR 97309 <br /> � c <br /> SA <br /> - ... . . ._ n` 3 LTGENSEO IROFESSIAIYihL TNIOIMATIOI k3M <br /> Business Name License Address Phone <br /> ECO,INC Installer/Pu 39361 PO BOX 1401 AUMSVILLE OR 97325 503-949-2772 <br /> mper <br /> License <br /> Fee Description Quantity Amount <br /> Install-Standard subsurface -by gallons per day 150.00 GPD $1,080.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $1,180.00 <br /> Note:This may not include all the fees required for this project. <br /> Thisapplication <br /> pp cation 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:07/01/2024 1 std_BuildingApplicationjDr <br />