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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> MarionSalem,OR 97305 <br /> County 503-588-5147 <br /> Q';REG`. l <br /> Authorization NA FAX: 503-588-7948 <br /> Oi <br /> 555-23-005024-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: KUENZI,TYLER J &KUENZI, AMY R <br /> 6878 BURNETT ST SE <br /> SALEM, OR 97317 <br /> N,. r);A 'MrR ^zr ig, '6 <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: AUTH TO ADD 1 BDRM -3 TO 4 <br /> i.._ �.. ;.�.ioe✓air ..: «t,r.Y'.. "r.. %� �i'+ k«�..'l« a�^.+. 4,pxy_ .l. Ol SITE INFORMATION`,.! .G«.E::`<Fs,.f ice, x.. e.• k4�.+E ^,aVF. .. ..i«a ..«ti <br /> Property Address: Parcel: Owner: KUENZI,TYLER J&KUENZI, <br /> 6878 Burnett St Se,Salem,OR 97317 072W34CA00500- Primary AMY R <br /> Address: 6878 BURNETT ST SE <br /> SALEM OR 97317 <br /> y ,;� . ICI Sl i pEIE E5STC5NAL TNt=0t 1!!iA p e 1 K yf <br /> Business Name License Address Phone <br /> SEE PROPERTY OWNER INFORMATION Owner OWNER <br /> (Pro�erty) <br /> ' � ��.,' � M�.*r'���q , x: � rsz ...:. w1 ti� �� ��g€�� *� y..�"` Es a,�d�`��, �t�y�« �;3„��" ��� � � �.. <br /> , E� ,A .. . FN r, s ..PERM 7 FEES. : ,�., � , _k Esau .. q�. ' <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:06/13/2023 1 std_BuildingApplication pr <br />