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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> 161anon Salem,OR 97305 <br /> county Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-22-002468-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Bethel Excavating <br /> PO Box 504 <br /> Turner, OR 97392 <br /> a._ . ov <br /> TYPE OF WORK , $T <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: MA]ALT: MODIFY EXISTING DF FOR ACCR <br /> • ',;SOS 51TE ZNF�RMATION4-51. <br /> Property Address: Parcel: Owner: BYNON JRLT&BYNON, <br /> 6274 Carver Ct Ne,Salem,OR 97317 072W28D 01800-Primary EDWARD A THE <br /> Address: 6274 CARVER CT NE <br /> SALEM OR 97317 <br /> ,;, , >LICENSEb PROFESSIONAL INFER <br /> Business Name License Address Phone <br /> BETHEL EXCAVATING Installer 36198 PO BOX 504 TURNER OR 97392 (50-3)-743- <br /> License <br /> Fee Description Quantity Amount <br /> Alteration (major) 1.00 Ea $675.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $775.00 <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:03/23/2022 1 std_BuildingApplication pr <br />