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MARION COUNTY
<br /> Building Application 5155 Silverton Rd NE
<br /> Marion Salem,OR 97305
<br /> county 503-588-5147
<br /> Site Evaluation NA
<br /> FAX: 503-588-7948
<br /> OR EGON'
<br /> 555-23-005470-EVAL
<br /> www.co.marion.or.us building@co.marion.or.us
<br /> Applicant: MICHAEL R BARNES TR 50%
<br /> PO BOX 4594
<br /> SALEM, OR 97302
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<br /> No Code Edition Specified
<br /> Type of Work: Category of Construction:
<br /> None specified Single Family Dwelling $0.00
<br /> Description of Work: SE: 4 BDRM SFD
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<br /> Property Address: Parcel: Owner: MICHAEL R BARNES TR 50%
<br /> 9505 Golf Club Rd Se,Aumsville,OR 97325 091W05 00400- Primary
<br /> Address: PO BOX 4594
<br /> SALEM OR 97302
<br /> M ��. ��F w� LICENSED PROFESSIONAL INFORMATION
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<br /> Business Name License Address Phone
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<br /> i � PERMIT`FEES f s r z
<br /> Fee Description Quantity Amount
<br /> Site evaluation-Single family dwelling 1.00 Ea $725.00
<br /> DEQ Surcharge 1.00 Automatic $100.00
<br /> Total Fees: $825.00
<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:06/27/2023 1 std_BuildingApplication pr
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