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�ta,fl� MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> c?!?CNZ Salem,OR 97305 <br /> Coup 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> OREGON <br /> 555-20-009082-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> (�q e <br /> s-..>�j �{ ;,:'y L s.%i � ,±, �e . °gF <br /> Applicant: RG CONSTRUCTION &ASSOCIATES LLC <br /> PO BOX 630 <br /> LEBANON, OR 97355 <br /> ° ' " .......,.,_ <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: PRIMARY FIRE RES MA] REPAIR REPL 3 BDRM RES NEW LOCATION <br /> SOB SITE II FORMATIQN <br /> Property Address: Parcel: Owner: GULLIFORD LT <br /> 360 E Central Ave,Gates,OR 97346 093E26C 01000- Primary <br /> Address: PO BOX 241 <br /> G <br /> 7346 <br /> 777 LICENSI D PROFESSIONAL N ORMATI N <br /> - .,�.. .... .. .,�.... .�. _F. ...x ,...„�, e <br /> Business Name License Address Phone <br /> PERMIT FEES i„ <br /> Fee Description Quantity Amount <br /> Repair(major)-single family dwelling 1.00 Ea $600.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $700.00 <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:12/15/2020 1 std_BuildingApplication pr <br />