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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Pln, , Salem,OR 97305 <br /> ,county Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> O REGO;11, <br /> 555-24-001447-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: ZACHARY TONEY <br /> 13283 PICARD PL SE <br /> TURNER, OR 97392 <br /> • 8 P v :u' der •y^d b ;�3 s ;� .. <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified None specified $0.00 <br /> Description of Work: NEW INSTALL CAPPING FILL FOR 3 BDRM SFD <br /> f - OB O ATIO f: � . <br /> A',,. ..„�t�� _,T.�. . .�_s :�- .�^, ' f., bra. � �.,®_ �t.� .rb re <br /> Property Address: Parcel: Owner: ZACHARY TONEY <br /> 13287 Picard PI Se,Turner,OR 97392 TEMP MC-Primary <br /> Address: 13283 PICARD PL SE <br /> TURNER OR 97392 <br /> , LICENS D P ESS ONA INFORMA IO <br />--- -- ��. ue . �_ ,�r, <br /> Business Name License Address Phone <br /> 15141 <br /> Fee Description Quantity Amount <br /> Install-Capping fill-by gallons per day 450.00 GPD $1,440.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $1,540.00 <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:02/21/2024 1 std_BuildingApplication pr <br />