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•;;,�`- MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> MaYiort Salem,OR 97305 <br /> COU17` Permit NA FAX:FAX: 503-588-7948 <br /> c RE'GO:N` <br /> 555-24-000620-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Up the Creek Cutting &Excavation LLC <br /> PO BOX 496 • <br /> MILL CITY, OR 97360 <br /> PE t <,... max .�� TY OF <br /> F <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified None specified $0.00 <br /> Description of Work: MAJ REPAIR-3 BDRM SFD REPLACEMENT(FEE WAIVER ALREADY USED) <br /> ' tea.itbe,ho JOBS a ' f q Yow <br /> Property Address: Parcel: Owner: TAPKEN, RICHARDA <br /> 11297 Pioneer Rd Se, Lyons,OR 97358 092E16BC00500-Primary <br /> Address: 1021 BROWNS CHAPEL RD <br /> PARROTTSVILLE TN 37843 <br /> 43I TCENS I API' C� � .'n0 �jx'T,,,Qy. .. . © � ssa+. xau x . <br /> Business Name License Address Phone <br /> UP THE CREEK CUTTING& Installer 39652 40295 GATES SCHOOL RD GATES OR 971-718-7726 <br /> EXCAVATION LLC License 97346 <br /> Fee Description Quantity Amount <br /> Repair(major)-single family dwelling 1.00 Ea $640.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $740.00 <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:01/24/2024 1 std_BuildingApplication pr <br />