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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> MarionSalem,OR 97305 <br /> county 503-588-5147 <br /> Commercial Agricultural Equine FAX: 503-588-7948 <br /> OREGON <br /> 555-24-006779-AGE <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: MATLOCK, RUSSELL D &MATLOCK,]ACQUIE L <br /> 10194 MT ANGEL-GERVAIS RD NE <br /> GERVAIS, OR 97026 <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified None specified $0.00 <br /> Description of Work: AGEX FOR 20'x18'SHED FOR STORAGE, NO PLUMBING, <br /> Q #r .I1,u- RMATI, �ti. I tom.. :.,.. <br /> Property Address: Parcel: Owner: MATLOCK, RUSSELL D& <br /> 10194 Mt Angel Gervais Rd Ne,Gervais,OR 051W31D 01000- Primary MATLOCK,]ACQUIE L <br /> 97026 Address: 10194 MT ANGEL-GERVAIS <br /> RD NE <br /> GERVAIS OR 97026 <br /> �" E,,, LICCENSEi~t PR FE i NAI;TN�QEtN[ATILIISL � r.p, � <br /> Business Name License Address Phone <br /> • <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:08/27/2024 1 std_BuildingApplication_pr <br />