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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> MarionSalem,OR 97305 <br /> County 503-588-5147 <br /> Authorization NA FAX: 503-588-7948 <br /> O R.E G:O N <br /> 555-22-006238-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: RILEY, VANESSA C <br /> PO BOX 596 <br /> LYONS, OR 97358 <br /> ° =H'GXPf WCfRI , xka , , - <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 W/FLD REPL 3 BDRM RES WITH FUTURE NSFD 3 BDRM RES*SAME FOOTPRINT <br /> F� � ` ' SOB SITI INFORMATION i ce . <br /> Property Address: Parcel: Owner: RILEY,VANESSA C <br /> 23397 Santiam Way Se, Lyons,OR 97358 092E17BA00700-Primary <br /> Address: PO BOX 596 <br /> 97358 <br /> eGSSOl• <br /> 10 <br /> Business Name License Address Phone <br /> Fee Description Quantity Amount <br /> Authorization notice-with field visit 1.00 Ea $605.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $705.00 <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:07/14/2022 1 std_BuildingApplication.pr <br />