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• <br /> . . .. <br /> '•;,r ;�,,,� "`; MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Marion <br /> 97305 <br /> county503-588-5147 <br /> Site Evaluation NA FAX: 503-588-7948 <br /> Calf eeo;$ <br /> 555-23-006593-EVAL <br /> www.co.marion.or.us building@co.marion.or:us <br /> Applicant: Dwain Bethel &Sons Excavation, Inc. <br /> PO Box 504 <br /> Turner, OR 97392 <br /> 4 <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00• <br /> "Description of Work: SE: 4 BDRM SFD r <br /> a g @f m:t-CIIRMA Ofit <br /> „ �4. r»o�..�.d�.m s,a� .,, ..'!Yn-dv,�.w.. _,., h >s,,.�*ri:sd. <br /> -Property Address: Parcel: Owner: PATERSON, PATERSON-AND • <br /> 4950 Home Run VI Se,Turner,OR 97392 092W20C 01800-Primary <br /> Address: PO BOX 1828 <br /> BEND OR 97709 <br /> ;' V ¢ rf'# .t f*3F CONS m 0:i �p 6� ,�a9 `�"�' § <br /> A <br /> • Business Name License Address • Phone.' <br /> DWAIN BETHEL&SONS EXCAVATION, Installer 36198 PO BOX 504 TURNER OR 97392 503-743-2343PIRPOOk <br /> INC. License <br /> k fh /F/� r fa " I� .`✓u. ,9 /y y4°YK&r ._ _{ <br /> Fee Description Quantity Amount <br /> • <br /> Site evaluation-Single family dwelling 1.00 Ea $810.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $910.00 <br /> Note:This may not include all the fees required for this project. <br /> • <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:08/03%2023 1 std_BuildingApplication pr <br />