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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> �11�t2 Salem,OR 97305 <br /> county503-588-5147 <br /> • Permit NA FAX: 503-588-7948 <br /> Qr'It;E'G: O.N <br /> 555-23-008221-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> li aExcavation,App c nt: Dwaln Bethel &Sons Inc. <br /> PO Box 504 <br /> Turner, OR 97392 <br /> , _ ,� .^saw ;� Cf O [C tom' .: , ` 1:� <br /> >,..,,£ as e ;.._ tx ,�-£° _-__' d V lS.�s �WL/� njr �k$; s,,- a ,� .2" <br /> q< za ��- .�.u.:-.�.;�,t�,�.n ..-� .R�...s -F. ..�. .�'.�. .�t„�'� �c,.. r d�,. _^�x ,�� .. e <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 FOR FUTURE 4BDRM SFD(SE DONE UNDER 2995 RIDGEWAY) <br /> 1* OB SITE INFOR ATIONa � ' „` ~-; wnz `;' 7-4, <br /> 141 <br /> Property Address: Parcel: Owner: JAMES, ROBERT <br /> 9805 Deep Ln Se,Turner,OR 97392 093W01C 00401 -Primary <br /> Address: 2995 RIDGEWAY DR SE <br /> TURNER OR <br /> 392 <br /> �"� --* � „ � <br /> A Mle <br /> 0 , - LICENSED.�PROFES t NAL INFORMATION ... ,,, _ � . ..�., <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 <br /> FEESi ", N rt W 4- <br /> , �'' t, . x <br /> Fee Description Quantity Amount <br /> Install-Standard subsurface -by gallons per day 450.00 GPD $1,050.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $1,150.00 <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 an:09/28/2023 std_BuildingApplication pr <br />