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MARION COUNTY
<br /> Building Application 5155 Silverton Rd NE
<br /> MarionSalem,OR 97305
<br /> county 503-588-5147
<br /> Authorization NA
<br /> -- - FAX: 503-588-7948
<br /> Q:It E`."GO.N
<br /> 555-23-005774-AUTH
<br /> www.co.marion.or.us building@co.marion.or.us
<br /> Applicant: VA&SONS CONSTRUCTION CORP
<br /> 731 HAZELTINE AVE SE
<br /> SALEM, OR 97306
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<br /> No Code Edition Specified
<br /> Type of Work: Category of Construction:
<br /> None specified None specified $0.00
<br /> Description of Work: AUTH: ADD 1 BDRM HARDSHIP TO 4 BDRM SFD
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<br /> Property Address: Parcel: Owner: DAVID C HANDS LT
<br /> 3231 Mt Kuebler Dr S,Salem,OR 97302 083W18A 00106-Primary
<br /> Address: 3231 MT KUEBLER DR S
<br /> SALEM OR 97302
<br /> Business Name License Address Phone
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<br /> Fee Description Quantity Amount
<br /> Authorization notice-with field visit 1.00 Ea $650.00
<br /> DEQ Surcharge 1.00 Automatic $100.00
<br /> Total Fees: $750.00
<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:07/07/2023 i std_BuildingApplication pr
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