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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> Harlon <br /> count"" 503-588-5147 <br /> Authorization NA FAX: 503-588-7948 <br /> OREGON <br /> 555-20-007758-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: MATTHEWS DESIGN AND CONSTRUCTION INC <br /> PO BOX 727 <br /> LYONS, OR 97358-0727 <br /> TYPE OF WORK <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified None specified $0.00 <br /> Description of Work: FIRE PRIMARY AUTH W/FLD/ MIN REP REPL 3 BDRM RES <br /> JOB SITE INFORMATION <br /> Property Address: Parcel: Owner: FARRIS,BRADEN L <br /> 11184 Gopher Ln Se, Lyons, OR 97358 092E18A 00800 - Primary <br /> Address: 11184 GOPHER LN SE <br /> LYONc OR 97358 <br /> LICENSED PROFESSIONAL INFORMATION <br /> Business Name License Address Phone <br /> MATTHEWS DESIGN AND CONSTRUCTION 169394 PO BOX 727 LYONS OR 97358-0727 503-859-2791 <br /> Ind; <br /> PERMIT FEES <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 /> std BuildingApplication_pr <br /> Printed on:10/29/2020 - <br />