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y yq� MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> / fin Salem,OR 97305 <br /> County Site Evaluation NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> .Q REN" <br /> 555-23-006343-EVAL <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: FRANCO,JUAN C <br /> 1038 WALKER RD NE <br /> SALEM, OR 97301 <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Accessory Structure $0.00 <br /> Description of Work: SE: SHOP WITH BATHROOM <br /> Property Address: Parcel: Owner: FRANCO,JUAN C <br /> 6561 Brush Creek Dr Ne,Silverton,OR 97381 061W29D 00100- Primary <br /> Address: 1038 WALKER RD NE <br /> SALEM OR 97301 <br /> L <br /> Business Name License Address Phone <br /> 4 " ,'"::... p i'e. ' ISERIR,"•,,, EES "` fy;: js , ". t . Mari.i. <br /> Fee Description Quantity Amount <br /> Site evaluation-Single family dwelling 1.00 Ea $810.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $910.00 <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 an:07/25/2023 1 std_BuildingApplication_pr <br />