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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> MarionSalem,OR 97305 <br /> County 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> OREGON <br /> 555-23-006732-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Mike Hamer, Inc. <br /> 32948 Brewster Road <br /> Lebanon, OR 97355 <br /> �y, ;.• <br /> � � � _r � � 7'.�sa`fl'ar �Yss.. �., yx��*,. a ��, !' ,�, aid .�°3t t` � �'�'." m .��§` q'> �� +a p' <br /> 4 % •.`` :;. t3 '� w u.=PE OF W t. . ��rz'"..A� x.. o "ram fit. z �, � °..4 s. <br /> �✓r .•.y... ....... s: -�.,4.,�z �", ,_..,-.. •� „ sir .., ,....,........ ..,,. .,,...�.,.,.......� - Q ..,,...... . _.. ..,fit � Fwwn�..,... <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Residential $0.00 <br /> Description of Work: MIN REP: 3 BDRM SFD <br /> wr4�y?°x^` .,_ . er g :.: ' 1 S-. ;FORMATIC'�L'I!€'t,,4• arm s,p „ ri_z^ _ s �. .s . <br /> fft <br /> Property Address: Parcel: Owner: GI PROPERTIES LLC <br /> 15686 Quail Rd Ne,Silverton,OR 97381 071E06C 01201- Primary <br /> Address: 3350 OAK KNOLL RD NW <br /> g i �1:TCEi`15 ROFE St`.ONAL.:XNFtO. ATTcx SALEM OR 9 3oa a <br /> Business Name License Address Phone <br /> MIKE HAMER,INC. Installer 37908 32948 BREWSTER ROAD LEBANON OR 541-928-5074 <br /> License 97355 <br /> ",„-d:, 5' ��ar r � s of pt^ •: g �R� � "� M 7 9 +r ^ <br /> 745 M <br /> Fee Description Quantity Amount <br /> Repair(minor) -single family dwelling 1.00 Ea $320.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $420.00 <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:08/0e/2023 1 std_BuildingApplication pr <br />