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amu,. <br /> nFm„ MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Pi - Salem,OR 97305 <br /> Courtly Authorization NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> 0..REGON <br /> 555-21-002255-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> • <br /> Applicant: WALKER,JAMES M JR <br /> PO BOX 454 <br /> GATES, OR 97346 <br /> TYPE"OF WORK <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified None specified $0.00 <br /> Description of Work: FIRE-AUTH -REPLACE 3 BDRM MD WITH 2 BDRM MD <br /> 3OB SITE INFORMATION ,":,,:. <br /> Property Address: Parcel: Owner: WALKER,JAMES M JR <br /> 33299 North Santiam Hwy Se,Gates,OR 97346 093E25C 00400-Primary <br /> Address: X 454 <br /> GATES POBOOR 97346 <br /> LICENSED PROFESSIONAL INFORMATION 2..".. <br /> Business Name License Address Phone <br /> HOPSON SERVICES,LLC Installer/Pu 39227 PO BOX 51 MILL CITY OR 97360 (50-3)-897- <br /> mper ,License <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:03/05/2021 1 std_BuildingApplication_pr <br />