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.. MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> at <br /> jo Salem,OR 97305 <br /> county 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> O R•E G:ON <br /> 555-23-005452-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: JOSEPH FAHLSTROM <br /> 306 WOODBRIDGE CT SE <br /> SALEM, OR 97302 <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-MAJ REP; 3BD SFD <br /> v� s ���� 3�" .d�y,N b ��,r �O{.�.r� a � '� r �`j c c4;Y <br /> 5�... ,...,,. �`�' T...34<',4 ta�w'm oY.,''�F4�'x°k'ar O,wL s,.f� �¢Liy,",a 20:147 INFORMATIOi.�..wa <br /> Property Address: Parcel: Owner: JIM&MARY FAHLSTROM RLT <br /> 23557 Santiam Way Se, Lyons, OR 97358 092E17AB01000-Primary Address: 306 WOODBRIDGE CT SE <br /> SALEM OR 97302 <br /> ,.% �� ?' % 'wt 9 %r9%itK n <br /> A'rG napw' 'T/ 5 $ l <br /> Business Name License Address Phone <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 /> `D5 <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:06/26/2023 1 std_BuildingApplication pr <br />