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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> county Authorization <br /> Authorization NA FAX: 503-588-7948 <br /> OREGON <br /> 555-22-000778-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant:, MARGARET OSCILIA <br /> 5766 59TH CT SE <br /> SALEM, OR 97317 <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified None specified $0.00 <br /> Description of Work: AUTH W/O F/V: FOR 1 BDRM OLD HOME TO HARDSHIP <br /> JOB-SITE INFORMATION; <br /> Property Address: Parcel: Owner: HAWKINS,JOHN SCOTT& <br /> 5460 Ahrens Rd Se Hardship,Salem,OR 082W20 00402-Primary HAWKINS, LYNETTE M <br /> Address: 5462 AHRENS RD SE <br /> OR 97317 <br /> .z LICENSEb PROFESSIONA.INFORMATION �' SALEM <br /> Business Name License Address Phone <br /> Fee Description Quantity Amount <br /> Authorization notice-no field visit 1.00 Ea $150.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $250.00 <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:01/27/2022 1 std_BuildingApplication pr <br />