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AF,ak.:� MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Marion Salem,OR 97305 <br /> county Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-21-003282-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Hopson Services, LLC <br /> PO Box 51 <br /> Mill City, OR 97360 <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 - MAJ REP: 3 BDRM TO REPL 3 BDRM <br /> JOB SITE INFORMATION' <br /> Property Address: Parcel: Owner: P Z ELLING LLC <br /> 35364 Francis St Se, Lyons,OR 97358 084E32BD01800 - Primary <br /> Address: 12710 SW BOWMONT ST <br /> PORTLAND OR 9722.5 <br /> LICENSED PROFESSIONAL INFORMATION <br /> Business Name License Address Phone <br /> HOPSON SERVICES,LLC Installer/Pu 39227 PO BOX 51 MILL CITY OR 97360 (50-3)-897- <br /> mper License <br /> PERMIT FEES <br /> Fee Description Quantity Amount <br /> Repair(major) - single family dwelling 1.00 Ea $600.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $700.00 <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:03/30/2021 std_BuildingApplication_pr <br />