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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> h, Salem,OR 97305 <br /> county Authorization NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> O R E G O N <br /> 555-20-009346-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Salient Homes, LLC <br /> PO Box 9135 <br /> Salem, OR 97305 <br /> TYPE aF WORK <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: FIRE: AUTH: 2 BDRM REPLACING 2 BDRM <br /> m �.70B$ITE TNPORMATIQN z s ` ` <br /> Property Address: Parcel: Owner: FURER,ROBERT W <br /> 10025 North Fork Ln Se, Lyons,OR 97358 093E02DC01100- Primary <br /> Address: PO BOX 5160 <br /> SALEM OR 97304 <br /> • LICENSED PROFESSIONAL`INFORMATION <br /> Business Name License Address Phone <br /> SALIENT HOMES,LLC Installer 38962 PO BOX 9135 SALEM OR 97305 (50-3)-871- <br /> License <br /> '�.�. <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:12/24/2020 1 std_BuildingApplication pr <br />