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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> MarianSalem:05 :89_ 7531°4; <br /> OR 97305 <br /> CountyPermit NA 503 88 514 <br /> FAX: 503-588-7948 <br /> c) REGO•N <br /> 555-20-008467-PRMT-01 <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: DEAN, DON <br /> 653 SCENIC HEIGHTS DR SE <br /> SALEM, OR 97306 C p�a�ll <br /> $ a <br /> No Code Edition Specified - <br /> Type of Work: Category of Construction: <br /> None specified None specified $0.00 <br /> Description of Work: FIRE- MIN REP- REPL 2 BDRM SFD WITH 2 BDRM SFD(VACATION HOME) <br /> "'fi' firs+� , r � � � �y a <br /> s 11 SXT f R +IAT � �� �' <br /> Property Address: Parcel: Owner: DEAN FAM TR <br /> 11042 Dogwood Ln Se,Lyons,OR 97358 093E18AB01100- Primary <br /> Address: 653 SCENIC HEIGHTS DR SE <br /> SALEM OR 97306 <br /> ?, ¢ ,?! 4 ra "k - '01~01 PR6,ti � ONACiN:FORMATIDN a <br /> Business Name License Address Phone <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:12/01/2020 1 std_BuildingApplication pr <br />