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• MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> Nation <br /> • Country Authorization NA 503-588-5147 <br /> .. <br /> -- - FAX: 503-588-7948 <br /> ? R-E'G O.N' <br /> 555-23-005625-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: WELCOME HOMES LLC <br /> 19131 RIVER RD NE <br /> ST PAUL, OR 97137 <br /> i P �, t x _. . Ora,.. <br /> z <br /> iakfCA <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: ADD 1 BDRM TO A 2 BDRM SFD (TOTAL 3) <br /> 74 44 4 6 9G. 0V: q0. a, ` li f• Y:JO kt i tiRMAI G B7 "R <br /> Property Address: Parcel: • <br /> Owner: DAIRY FARM LIMITED <br /> 22961 River Rd Ne,St Paul,OR 042W04 00800-Primary PARTNERSHIP <br /> Address: PO BOX 356 <br /> �• � �� n ST PAUL OR 97137 <br /> Business Name License Address Phone <br /> � � 3: q��� �-��h "y as �' v� ����� s• ��s*rx E °�'g rey3.�°�rz�s'.v.l...e„ j r a.�`�,' �r fi� ` «� �`�� �' 's ��'�. <br /> ✓, ,.�,...s,,,srz�,. Yx,.•°I a ..-4.,,- �' yf�PERM FEES "� 2 Nr'z`x, �' <br /> Fee Description Quantity Amount <br /> Authorization notice-with field visit 1.00 Ea $605.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $705.00 <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:06/30/2023 1 std_BuildingApplication pr <br />