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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Mc?17D11; Salem,OR 97305 <br /> Count" 503 588 5147 <br /> Permit NA FAX: 503-588-7948 <br /> O.R.E G: O.N <br /> 555-23-002957-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 /> s.; <r f, TYPE fl�WORiC � f <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified None specified $0.00 <br /> Description of Work: MA] REP-FOR FUTURE 3 BDRM SFD <br /> ;Iry N4rySOB SITE INFORMATION.: <br /> Property Address: Parcel: Owner: MITCHELL, RICHARD M <br /> 7966 Stayton Rd Se,Turner,OR 97392 092W26C 01800-Primary <br /> Address: PO BOX 1208 <br /> TURNER OR 97392 <br /> $° �a £LIGENS ©9 PROFESSIQNAL INFORMATION <br /> Business Name License Address Phone <br /> BETHEL EXCAVATING Installer 36198 PO BOX 504 TURNER OR 97392 (50-3)-743- <br /> License <br /> „3> ,� PERMIT3FEES - , .f_mac. <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:04/10/2023 1 std_BuildingApplication pr <br />