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MARION COUNTY <br /> Building Application <br /> 5155 Silverton Rd NE <br /> Wit36 Salem,OR 97305 <br /> County Authorization NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-21-003820-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: SPL BUILDERS LLC <br /> 34020 RAILROAD AVE NE <br /> GATES, OR 97346 <br /> ...,.. .__TYPE_QE WORK .. .. .. <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 W/FLD REPL BURNED HOME W/NSFD 3 BDRM <br /> JOB SITE INS©RNIATIO[+L, .. <br /> Property Address: Parcel: Owner: CHAURAN,CINDY <br /> 34020 Railroad Ave Se,Gates,OR 97346 094E30 01600- Primary <br /> Address: 34020 RAILROAD AVE SE <br /> GATES OR 97346 <br /> ..,LICENSED PROFESSIONAL INFORMATION e - <br /> Business Name License Address Phone <br /> SPL BUILDERS LLC CCB 178854 34020 RAILROAD AVE NE GATES OR 97346 503-932-7570 <br /> PERMIT FEES,._ <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:04/14/2021 1 std_BuildingApplication pr <br />