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• <br /> MARION COUNTY <br /> Building Application 5155Siiverton Rd NE <br /> Salem,OR 97305 <br /> • Marion <br /> < countzy Permit NA503 588-5147 <br /> FAX:503-588-7948 <br /> OREGON <br /> 555-21-000222-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: ROLEY,KENNETM L <br /> 3075 BRIDLEWOOD WY S <br /> SALEM,OR 97306 <br /> • <br /> ' _ <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: MA]REP: 3 BDRM REPLACING 3 BDRM <br /> 4B 5 FORMATION <br /> lV+ <br /> � <br /> Property Address: Parcel: Owner: ROLEY,KENNETH L <br /> 25295 Santlam Park Rd Se, Lyons,OR 97358 092E22C 00800-Primary Address; 3075 BRIDLEWOOD WY S <br /> � rC�r SALEM OR 97306 <br /> °mea .' 1 l•..Clr.i,.. ... R ., ROFES �. A,,.., ...., , .,. <br /> Business Name License Address Phone <br /> SEE PROPERTY OWNER INFORMATION Owner OWNER <br /> Prose <br /> glaPtr �•Akyu .:.g 'may '3, ti , <br /> - •eu. ., , fi~i '>¢'� .8 m `5�.n <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 /> L•J <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_BuiidingAppiication_pr <br />