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MARION COUNTY <br /> Building Application <br /> 5155 Siiverton Rd NE <br /> Salem,OR 97305 <br /> Marion <br /> County' 503-588-5147 <br /> Permit NA FAX:503-588-7948 <br /> OR.E + ON <br /> 555-23-001215-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 /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: MA]ALT: 4 BDRM SFD (LOT 2 OF 3,P 22-009) MOVING OF TO OWN PROPERTY AND CREATE. <br /> REPAIR AREA <br /> Property Address: Parcel: Owner: BROOKS,RICHARD L& <br /> 12294 Summit Loop Se,Turner,OR 97392 092W20B 01002-Primary BROOKS,KAREN L <br /> Address: PO BOX 148 <br /> TURNER OR 97392 <br /> Business Name License Address Phone <br /> BETHEL EXCAVATING Installer 36198 PO BOX 504 TURNER OR 97392 (50-3)-743- <br /> License <br /> 1t�t�— ILA��..,��..��,!'�� <br /> a ., `5� .. ` . ,... _._. -�� "s;•x RM!l F t.7�y"..",, <br /> Fee Description Quantity Amount <br /> Alteration(major) 1.00 Ea $745.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $845.00 <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:02/08/2023 1 std_8uildingApplication pr <br />