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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Marlon . Salem,OR 97305 <br /> Count 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> O''R E G O N <br /> 555-21-007061-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 /> g'3 ,✓�.` 1, * <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Residential $0.00 <br /> Description of Work: MAJ REP for 4 BDRM SFD <br /> fi <br /> Property Address: Parcel: Owner: A CHARLES SHEKETOFF LT <br /> 14388 Evans Valley Rd Ne,Silverton,OR 061W35D 01300- Primary 50% <br /> 97381 Address: 325 TILLICUM DR <br /> 7� �p SILVERTON OR 97381 <br /> ,a..,..3�".:. .....x:&., , <,,,...�..„ r .r ...-...,... - VI 446: O'FROEE T4i44,4 *****O� pia e ...... ..,. _,d.,.lialkeidg., %1 +T <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 /> Repair(major)-single family dwelling 1.00 Ea $600.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $700.00 <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:07/13/2021 1 std_BuildingApplication pr <br />