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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> friaribr - Salem,OR 97305 <br /> county Authorization NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> O RE G:ON <br /> 555-21-009198-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: PHAT FREDDIES, LLC <br /> 3469 BROKEN ARROW LP NW <br /> SALEM, OR 97304 �iL+ <br /> "%- '9• 7-'ay� "'�ra '" a TYl9� '' ,mac 4 �. '°' .„; k <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: 2 BDRM HOME TO REPL 2 BDRM HOME <br /> 01:00.444/0XOWNVI <br /> Property Address: Parcel: Owner: PHAT FREDDIES LLC <br /> 265 Butte St N,Detroit,OR 97342 105E01BC13300- Primary <br /> Address: PO BOX 5123 <br /> SALEM OR 97304 <br /> PRC1>= ,0-0: 4-14 ©I MAT# <br /> Business Name License Address Phone <br /> OWEN CONSTRUCTION,INC. Installer 38534 P.O.BOX 21150 KEIZER OR 97307 (50-3)-390- <br /> License <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:04/01/2022 1 std_BuildingApplication pr <br />