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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> ",Ma/1bn <br /> County Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> O.R.E C. 0 N <br /> 555-23-004269-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Flow Line Construction LLC <br /> 11805 State St <br /> Salem, OR 97317 <br /> a a <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-MA] REP: 2 BDRM SFD <br /> ._...�,��'�,.��ak�`��w,�„t,.,, ... .. .. �„u ,IF.rs,IOBSITE.INFORMATION .. . �<.•M� �,�'a.,,�, .:s`��:..,��, ....., ,,.. �.�,,,, . . .s. <br /> Property Address: Parcel: Owner: SHAFFER, DAVID <br /> 36155 Niagara Hts Rd Se,Gates,OR 97346 094E28CB00300-Primary <br /> Address: PO BOX 443 <br /> S ITY <br /> ;.._. ... �, F o �x ..,, LICENSED PROFESSIONAL INFORMATION ',, ; <br /> Business Name License Address Phone <br /> FLOW LINE CONSTRUCTION LLC Installer 39474 11805 STATE ST SALEM OR 97317 (50-3)-871- <br /> License <br /> �� �y �� tea' PERMFEES <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:05/19/2023 1 std_BuildingApplication pr <br />