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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> lrarton Salem,OR 97305 <br /> County 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> OREGON <br /> 555-23-010413-PRMT <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 /> 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 2BD/3BTH NSFD <br /> Property Address: Parcel: Owner: NELITON LT&NELITON, <br /> 4929 Red Rock Ln S,Salem, OR 97302 083W08C 04501 -Primary DAVID A THE <br /> Address: PO BOX 3967 <br /> SALEM OR 97302 <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 /> d o <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 on: 12/29/2023 1 std_BuildingApplication pr <br />