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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> MarionSalem,OR 97305 <br /> County 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> O R;E..0 O,N <br /> 555-23-006413-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 /> .A" 'Ra � .ra w,a^'' as''r a, - •.,��a ,.��, �-�?`,�7- rz p.3T.a&� a 'g`"�.� "x 'y�; _ A�r� <br /> a .��a ,�+ <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: MAJ REP-INSTALLING NEW TANK AND PUTTING IN NEW EQUAL BOX <br /> Property Address: Parcel: Owner: MITCHELL,TYLOR& <br /> 306 Monitor Rd,Silverton,OR 97381 061W26DD01800-Primary MITCHELL, MELISSA <br /> Address: PO BOX 2045 <br /> SILVERTON OR 97381 <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 /> Fee Description Quantity Amount <br /> Repair(major) -single family dwelling 1.00 Ea $640.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $740.00 <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:07/27/2023 1 std_BuildingApplicationjr <br />