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- MARION COUNTY <br /> w- Building Application 5155 Silverton Rd NE <br /> ' Ma/-ion Salem,OR 97305 <br /> County 503-588-5147 <br /> Authorization NA <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-24-005142-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: JOSHUA&KERRY FOGARTY RLT <br /> 14408 EVANS VALLEY RD NE <br /> SILVERTON, OR 97381 <br /> Va ^ ntAl ' 9 ,,:,:ArtAIPIRB*iftfoWdWPRXNe4t&fafnitRfrK:;.:ikfiOBgtltgl <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: AUTH: WITHOUT FV 3 BDRM SFD INTO EXISTING SYSTEM <br /> - <br /> d, 1. <br /> Property Address: Parcel: Owner: JOSHUA&KERRY FOGARTY <br /> 14408 Evans Valley Rd Ne,Silverton, OR 061W35D 01600- Primary RLT <br /> 97381 Address: 14408 EVANS VALLEY RD NE <br /> SILVERTON OR 97381 <br /> t' - F a , ..., VA:, L:IGENS PROFESSIONAL IN FOR#4TIOW ` r fil kR bv; '$ <br /> Business Name License Address Phone <br /> `, .. , ., � �°a, a,`� „fir,�,�.�:� ,. � -.g. <,s �.-.a. ,.max+ � ��' s ��, '� ?;s�..� .r_ ,- �_„:..��F�,_, p ..s...w: :$.•:_ �.. .�. <br /> Fee Description Quantity Amount <br /> Authorization notice-no field visit 1.00 Ea $220.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $320.00 <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:07/03/2024 1 std_BuildingApplication pr <br />