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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Marion Salem,OR 97305 <br /> County 503-588-5147 <br /> FAX:NA 503-588-7948 <br /> OREGON <br /> 555-21-000220-AUTH <br /> www.co.marion.or.us building©co.marion.or.us <br /> Applicant: BOAST,BRIAN D <br /> 179 CEDAR LN <br /> GATES, OR 97346 <br /> TYPE OF WORK <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified None specified $0.00 <br /> Description of Work: FIRE-AUTH -3 BDRM MH TO REPL 3 BDRM <br /> Property Address: Parcel: Owner: BOAST,BRIAN D <br /> 179 Cedar Ln, Gates, OR 97346 093E27DC04000 - Primary <br /> Address: 179 CEDAR LN <br /> GATES OR 97346 <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 /> EXPIRED <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:01/08/2021 1 std_BuildingApplication_pr <br />