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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> 1il. rion Salem,OR 97305 <br /> county 503-588-5147 <br /> Site Evaluation NA FAX: 503-588-7948 <br /> OREGON <br /> 555-23-007090-EVAL <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: SIPPEL, DONOVAN <br /> 5756 FRUITLAND RD NE <br /> SALEM, OR 97317 <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: ESE/SE: EXISTING 3 BDRM SFD TO CREATE REPAIR AREA. (LOT 5 OF 7, P/PLA 22-011) <br /> Property Address: Parcel: Owner: SIPPEL, DONOVAN <br /> 751 Noble Plum Way Ne, Salem, OR 97317 TEMP MC- Primary <br /> Address: 5756 FRUITLAND RD NE <br /> SALEM OR 97317 <br /> LICENSED PROFESSIONAL INFORMATION • <br /> Business Name License Address Phone <br /> PERMIT FEES <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 /> Punted on 08/21/2023 1 std_BuildingApplication pr <br />