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MARION COUNTY
<br /> Building Application 5155 Silverton Rd NE
<br /> Marion Salem,OR 97305
<br /> County 503-588-5147
<br /> Permit NA FAX: 503-588-7948
<br /> O:R.E G' 0 N
<br /> 555-21-008417-PRMT
<br /> www.co.marion.or.us building@co.marion.or.us
<br /> Applicant: Hopson Services, LLC
<br /> PO Box 51
<br /> Mill City, OR 97360
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<br /> No Code Edition Specified
<br /> Type of Work: Category of Construction:
<br /> None specified Single Family Dwelling $0.00
<br /> Description of Work: FIRE-MAJ REP: 3 BDRM REPL 3 BDRM SFD
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<br /> Property Address: Parcel: Owner: COURTNEY,MARK I-1
<br /> 120 E Sorbin Ave,Gates,OR 97346 093E26CC03200- Primary
<br /> Address: 120 E SORBIN AV
<br /> GATES OR 97346
<br /> . ..Itsc�NS PROFS f�NAt INFO , ATION a,Business Name License Address Phone
<br /> HOPSON SERVICES,LLC Installer/Pu 39227 PO BOX 51 MILL CITY OR 97360 (50-3)-897-
<br /> mper
<br /> License
<br /> -' — -�'?I• �' � � �:1 ...$`k x�"a: n. GR i kig a v :e r' . ''e f t. -a'
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<br /> Fee Description Quantity Amount
<br /> Repair(major) -single family dwelling 1.00 Ea $600.00
<br /> DEQ Surcharge 1.00 Automatic $100.00
<br /> Total Fees: $700.00
<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:0e/19/2021 1 std_BuildingApplication pr
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