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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> Authorization NA FAX: 503-588-7948 <br /> OREGON <br /> 555-21-011345-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> p^i r4� �4+ zn• rw^' '.: '`�� ± .� x;r Y ,. :jj� • 4 � ,3i • • <br /> 77 { <br /> ° ES woy <br /> � •a,.®> �a:°"'g�rr �"Y.r T's • q, ",-. -:a •fs .. 4E • � ,°' n. � "+sz'F ":p <br /> Applicant: FASTER PERMITS <br /> 2000 SW 1st AVE. SUITE 420 <br /> PORTLAND, OR 97201 <br /> l at 4 TYPE Ol?�tVfORK.. .Mir ` <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 3 BDRM SFD to 4 BDRM SFD <br /> 1 3 -.._- <br /> Property Address: Parcel: Owner: HAWES, MICHAEL A& <br /> 35414 Francis St Se, Lyons,OR 97358 084E32BD01500- Primary HAWES,SUSAN G <br /> Address: 4615 SPRUCE ST <br /> . ;,r.. LICENSED PROFESSIONALINFORMATION- BED REv0 <br /> Business Name License Address Phone <br /> ,7777:77.— <br /> PERMIT FEES <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 <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 <br /> licensed unless exempted by ORS 701.010. <br /> Printed on:11/15/2021 1 std_BuildingApplication_pr <br />