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1 MARION COUNTY
<br /> Building Application 5155 Silverton Rd NE
<br /> Main Salem,OR 97305
<br /> county
<br /> Permit NA 503-588-5147
<br /> • FAX: 503-588-7948
<br /> 0REG:0N
<br /> 555-23-005280-PRMT
<br /> www.co.marion.or.us building@co.marion.or.us
<br /> Applicant: Dwain Bethel &Sons Excavation, Inc.
<br /> PO Box 504
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<br /> No Code Edition Specified
<br /> Type of Work: Category of Construction: '
<br /> None specified Single Family Dwelling $0.00
<br /> Description of Work: NEW INSTALL: 4 BDRM SFD
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<br /> Property Address: Parcel: Owner: MELINDA M BROWN
<br /> 7979 Marion Rd Se,Turner,OR 97392 082W33BA00300-Primary
<br /> Address:
<br /> Business Name License Address Phone
<br /> DWAIN BETHEL&SONS EXCAVATION, Installer 36198 PO BOX 504 TURNER OR 97392 503-743-2343
<br /> INC. License �y �. �
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<br /> Fee Description Quantity Amount
<br /> Install-Standard subsurface -by gallons per day 1.00 GPD $1,010.00
<br /> DEQ Surcharge 1.00 Automatic $100.00
<br /> Total Fees: $1,110.00
<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:06/20/2023 1 std_BuildingApplication pr
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