Laserfiche WebLink
MARION COUNTY <br /> -Y = Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> Marion <br /> county 503-588-5147 <br /> Authorization NA FAX: 503-588-7948 <br /> O.R.E G: ON <br /> 555-22-005434-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: MILLS, DAVID D &SCHAFER, KRISTIN <br /> 5026 RILEY CT SE <br /> SALEM, OR 97306 <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: AUTH: 2 BDRM SFD TO REPL 3 BDRM <br /> flet,: d Ztki .. r _. „M ,, . . r,. ....., „_ _JC18 SITE INFCiRMATION ` -. � <br /> Property Address: Parcel: Owner: MILLS, DAVID D&SCHAFER, <br /> 6688 Lakota Ln S,Salem,OR 97306 083W20C 00400-Primary KRISTIN <br /> Address: 5026 RILEY CT SE <br /> SALEM OR 97306 <br /> LICEN PROFESSIONAL±NFORMA1TOIV ,a ;� � <br /> Business Name License Address Phone <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:06/17/2022 1 std_BuildingApplication_pr <br />