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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> fildron <br /> County Authorization NA FAX: 503-588-5147 <br /> 503-588-7948 <br /> O"R:E G'O•N <br /> 555-20-008854-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: JOHN R&KATHRYN K MARKS JRLT <br /> 283 EIDER AV SE <br /> SALEM, OR 97306 <br /> r3 <br /> EDF iilffOKK <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: FIRE: AUTH 2 BDRM TO REPL 2 BDRM SAME LOC <br /> A . . : - 4,•] W h 001 ' <br /> Property Address: Parcel: Owner: JOHN R&KATHRYN K <br /> 11028 Dogwood Ln Se,Lyons,OR 97358 093E18AA00800- Primary MARKS JRLT <br /> Address: 283 EIDER AV SE <br /> % SALEM OR 97306 <br /> _,LICENSED PROFESSIONAL INl ORMATION..T e;e ..- 3.. <br /> Bus' ess Name License Address Phone <br /> SEE PROPERTY OWNER INFORMATION Owner OWNER <br /> (Property) <br /> •r,�n�.._ .�-,a. - .�_�y.,...,m>�, <�d-7F,.-�vx, c,,.< ,..,m.,�, ad., ,�...:'�, �.> ,�„ sd .., ...„ .,,�. azn,.,, w„. ..x �'nn, ,��.�";�a�.t, i ��. .�?,. .,.,�m:�:a�-.�. -.�` <br /> Fee Qescription Quantity Amount <br /> Authorization notice-with field visit 1.00 Ea $450.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $550.00 <br /> Note:This may not include all the fees required for this project. <br /> • <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:12/08/2020 1 std_BuildingApplication pr <br />