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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> MarionSalem,OR 97305 <br /> county -588-5147 <br /> Authorization NA E)(P I R 50 588-7948 <br /> ORE G O N <br /> 555-20-007927-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: BAUGHMAN , SCOTT <br /> PO BOX 943 <br /> MILL CITY, OR 97360 <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 PROPERTY PRIMARY AUTH REPL 3 BDRM/2 BATH <br /> JOB SITE INFORMATION ' <br /> Property Address: Parcel: Owner: DENNIS&BARBARA <br /> 50569 Linnwood Dr, Gates, OR 97346 09503E26CD00303 - Primary MAHLUM <br /> Address: 323 KAPOK ST <br /> LYONS OR 97358 <br /> Business Name License Address Phone <br /> Fee Description Quantity Amount <br /> Authorization notice- with field visit 1.00 Ea $450.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $550.00 <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:11/03/2020 1 std_BuildingApplication_pr <br />