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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> ManoTt Salem,OR 97305 <br /> COunty 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> OREGON <br /> 555-21-011989-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 /> ;TYPE"oF_1NORlc <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.) REP: 3 BDRM SFD <br /> .. :JOB SITE INFORMATION. .. <br /> Property Address: Parcel: Owner: CURTRIGHT RLT <br /> 4087 Wintercreek Rd Se,Jefferson,OR 97325 092W19 01300-Primary <br /> Address: 4135 PARADISE HILL DR SE <br /> TURNER OR 97392 <br /> LICENSED PROFESSIONAL;INFORMATION .. <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:12/07/2021 i std_BuildingApplication_pr <br />