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r <br /> MARION COUNTY <br /> = Building Application 5155 Silverton Rd NE <br /> 'r 81?)nn Salem,OR 97305 <br /> County 503-588-5147 <br /> Authorization NA FAX: 503-588-7948 <br /> OR.EG: O.N <br /> 555-21-008419-AUTH <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 /> 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 3 BDRM TO REPL 3 BDRM <br /> L � per■ <br /> .< ,.`r:a-_„,2. „--- ,... ,,-,:.,a .,✓:,., .. ,.a .,,,,'": o,. ,,,, x,70B;5�'EFIN��E�M�kT��!V m, ..�',, - , ro�` ;.�.,.,1,_ �a�.,, .,a. `...F_ -,".=4. <br /> Property Address: Parcel: Owner: PFOHL,RICHARD C <br /> 117 Dogwood Dr,Gates,OR 97346 093E27DD02700- Primary <br /> Address: PO BOX 565 <br /> m `� LI"CEN SE1'1►1PROFESSXC NAI,TN_s R ATION y GATES OR 97346 <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 <br /> License <br /> "'k 7 " ff ,.'- +� <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 /> 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:0e/19/2021 1 std_BuildingApplication pr <br />