Laserfiche WebLink
MARION COUNTY <br /> _ Building Application <br /> 5155 Silverton Rd NE <br /> Pfar115 -- Salem,OR 97305 <br /> ,&COLl1ICY Authorization NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-21-002688-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: BRUER,TERESA L <br /> PO BOX 879 <br /> DALLAS, OR 97338 <br /> TYPE AF 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 MIN REP: 3 BDRM SFD TO REPL 3 BDRM SFD <br /> Property Address: Parcel: Owner: BRUER,TERESA L <br /> 111 W Central Ave,Gates,OR 97346 093E27DD00400-Primary <br /> Address: 2124 PIONEER RD <br /> DALLAS OR 97338 <br /> LICENSE© PROFESSIONAL`IN FORMATION <br /> Business Name License Address Phone <br /> OREGON SEWER&DRAIN Installer/Pu 38968 PO BOX 1282 SILVERTON OR 97381 (50-3)-874- <br /> m.er License <br /> PE 40,4t <br /> FE„ES <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:03/16/2021 1 std_BuildingApplication pr <br />