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.,, <br /> ",= .tom;;;>y,� MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> MarionSalem,OR 97305 <br /> Copy Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-20-002257-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: BRUCE P WOLF <br /> 5295 ST LOUIS RD NE <br /> GERVAIS, OR 97026 <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified None specified $0.00 <br /> Description of Work: MA]ALT: REP 3 BDRM MH WITH 5 BDRM SFD(TRANSFERED FROM 19-001532) <br /> Property Address: Parcel: Owner: WOLF, BRUCE <br /> 5295 St Louis Rd Ne,Gervais,OR 97026 052W20 00300- Primary <br /> Address: 5295 ST LOUIS RD NE <br /> GERVAIS OR 9�7026 <br /> Business Name License Address Phone <br /> SEE PROPERTY OWNER INFORMATION Owner OWNER <br /> Pro pert <br /> Fee Description Quantity Amount <br /> Permit transfer, reinstatement or renewal- no field visit 1.00 Ea $26.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $126.00 <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:04/08/2020 1 std_BuildingApplication_pr <br />