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""s; MARION COUNTY <br /> Building Application <br /> 5155 Silverton Rd NE <br /> M�Tt�071.- Salem,OR 97305 <br /> county Authorization NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> ORE GO.N <br /> 555-23-002257-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: SMITH, LARRY <br /> 6609 SE EOLA HILLS RD <br /> AMITY, OR 97101 <br /> :TYPE 11tORK <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: AUTH: WITHOUT FV FOR 4 BDRM SFD TO REPL 4 BDRM (REF 555-21-004984-AUTH) <br /> JOB SIT;04017OROATON:. .. <br /> Property Address: Parcel: Owner: KITES, FRED R <br /> 6346 Lands End Ln Ne,Salem,OR 97305 062W28DD00200- Primary <br /> Address: 6346 LANDS END LN NE <br /> SALEM OR 97305 <br /> LICENSED PROFESSIQNAL:INFORMATTON <br /> Business Name License Address Phone <br /> rr -sue= � d 1 ./ .+PERMIT FEES <br /> Fee Description Quantity Amount <br /> Authorization notice-no field visit 1.00 Ea $205.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $305.00 <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:03/15/2023 i std_BuildingApplication.pr <br />