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MARION COUNTY <br /> Silverton Rd NE <br /> Building Application 5155 Salem,OR 97305 <br /> Cp�, 503-588-5147 <br /> Authorization NA FAX: 503-588-7948 <br /> OREGON <br /> 555-21-009740-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: LUNSKI, SCOTT&LUNSKI, CALLIE J <br /> 17823 S NESTLE LN <br /> OREGON CITY, OR 97045 <br /> ;TYPE OF WORK <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 AUTH W/FLD REPL 3 BDRM WITH 4 BDRM *SAME FOOTPRINT <br /> 30B SITE INFORMATION <br /> Property Address: Parcel: Owner: LUNSKI,SCOTT&LUNSKI, <br /> 150 Clifford Ave E, Detroit,OR 97342 105E01CA03000- Primary CALLIE J <br /> Address: 17823 S NESTLE LN <br /> OREGON CITY OR 97045 <br /> LICENSED PROFESSIONAL;INFORMATION <br /> Business Name License Address Phone <br /> PERMIT FEES' <br /> Fee Description Quantity Amount <br /> Authorization notice-with field visit 1.00 Ea $450.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $550.00 <br /> Note:This may not include all the fees required for this project. <br /> • <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:09/29/2021 1 std_BuildingApplication_pr <br />