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ice• �R` <br /> IFS � <br /> MARION COUNTY ).1 <br /> Y�==� Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> Ma 503-588-5147 <br /> c°I`n` Authorization NA FAX: 503-588-7948 <br /> O <br /> rt, jj <br /> 555-23-001897-AUTH ,j' <br /> www.co.marion.or.us building@ co.marion:or.us <br /> Applicant: Owen Construction, Inc. <br /> P.O. Box 21150 <br /> Keizer, OR 97307 <br /> Nt. r .yawwo 41),F, , .,� . „ � <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 AUTH: 2 BDRM SFD TO REPL 2 BDRM <br /> , .v „ ,30...B S.I TE INFOR MATIOM� ✓.,,.✓tw4«s...�� - <br /> Property Address: Parcel: Owner: BOYANTON, HUGH E <br /> 125 Santiam Ave W, Detroit,OR 97342 105E02DA03000-Primary <br /> Address: 288 HOLDER LN SE <br /> `` .,, ,� y.'��; ,.�t . ••. LIGENSI © pRO��SS t1MA!~YNFOR. ATION w SALEM OR 97306 <br /> Business Name License Address Phone <br /> OWEN CONSTRUCTION,INC. Installer 38534 P.O.BOX 21150 KEIZER OR 97307 (50-3)-390- <br /> License <br /> Fee Description Quantity Amount <br /> Authorization notice-with field visit 1.00 Ea $605.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $705.00 <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:03/03/2023 1 std_BuildingApplication_pr <br /> o ' <br />