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MARION COUNTY <br /> •a; Fda�,;;n;;R <br /> Building Application 5155 Silverton Rd NE <br /> Marion Salem,OR 97305 <br /> COLlt1LI� 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> 0 R.E'G 0 N <br /> 555-22-011641-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: John Donaldson <br /> PO Box 1127 <br /> Molalla, OR 97038 <br /> a� TYPE=O�WORK �H 9� <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: MAJ REP: 3 BDRM SFD <br /> ` .a. 777 <br /> Property Address: Parcel: Owner: MCGUIRE, DANIEL <br /> 22430 Boones Ferry Rd Ne,Aurora,OR 97002 041W11A 00600-Primary <br /> Address: <br /> g LICENSED PROFESSIONAL-INFORMATION <br /> Business Name License Address Phone <br /> JOHN DONALDSON Installer " 39168 PO BOX 1127 MOLALLA OR 97038 (50-3)-989- <br /> License <br /> 1,p r F s y; ,`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:12/27/2022 1 std_BuildingApplication_pr <br />