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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> M1Ie7rLD11 Salem,OR 97305 <br /> county 503-588-5147 <br /> Authorization NA FAX: 503-588-7948 <br /> OREGON <br /> 555-23-008681-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: PHILLIP TORAN <br /> 12999 BETHLEHEM DR NE <br /> GERVAIS, OR 97026 yy� <br /> s r" .; <br /> s �qs <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Manufactured Dwelling $0.00 <br /> Description of Work: AUTH TO ADD 3BDRM HARDSHIP TO SBDRM SFD <br /> • <br /> ��� �t,; �M` '^u3"..`^%'F"k'$k ' k '��'.r l..r. ln..�r � �!rv� ro..,. . ���' ,�* 1.'`rSt <br /> �.. ,.. �,�� sus .? - '��'ar:�X✓�� Y�s'^ «�:�. .,�,�".�.�.�,,,. <br /> Property Address: Parcel: Owner: TORAN,ALEXANDER 42.5% <br /> 13001 Bethlehem Dr Se, Gervais,OR 97026 051W30B 00100-Primary <br /> Address: PO BOX 634 <br /> GERVAIS OR 97026 <br /> 7114,Art, <br /> Business Name License Address Phone <br /> Fee Description Quantity Amount <br /> Authorization notice-with field visit 1.00 Ea $650.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $750.00 <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 /> 1 std BuildingApplication�r <br /> Printed on: 10/16/2023 - <br />