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MARION COUNTY <br /> :at.. Nutyg� <br /> Building Application 5155 Silverton Rd NE <br /> - <br /> Salem,OR 97305 <br /> County 503-588-5147 <br /> Commercial Structural <br /> FAX: 503-588-7948 <br /> O.REG.ON <br /> 555-23-000821-STR <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Brian Foss <br /> TOTAL COMFORT WEATHERIZATION LTD <br /> 565 21ST ST SE <br /> SALEM, OR 97301 652 <br /> Structural Specialty Code Edition: 2019 <br /> Type of Work: Category of Construction: Valuation: <br /> Replacement Commercial $6,748.41 <br /> Description of Work: Like for like window replacement and one window cut in <br /> ] SITE INRM N ,FOATIO , <br /> OB" <br /> Property Address: Parcel: Owner: STATE OF OREGON-PARKS& <br /> 10991 Wheatland Rd Ne, Gervais,OR 97026 063W03 00500- Primary REC <br /> Address: 725 SUMMER ST NE#C <br /> SALEM OR 97301 <br /> LICENSE© PROFESSIONAL"INFORMATION rat <br /> Business Name License Address Phone <br /> TOTAL COMFORT WEATHERIZATION CCB 172013 565 21ST ST SE SALEM OR 97301-6526 503-399-9052 <br /> LTD <br /> PERMIT <br /> Fee Description Quantity Amount <br /> Structural plan review fee 1.00 Ea $65.00 <br /> Structural building permit fee 1.00 Ea $100.00 <br /> State of Oregon Surcharge- Bldg (12% of applicable fees) 1.00 Ea $12.00 <br /> Total Fees: $177.00 <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:01/30/2023 1 std_BuildingApplication_pr <br />