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MARION COUNTY <br /> Building Application <br /> 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> Count <br /> y <br /> '- Permit NA 503 588 5147 <br /> FAX: 503-588-7948 <br /> OREGON <br /> 555-20-008330-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: NEW INSTALL: 5 BDRM SFD <br /> r'.� <br /> Property Address: Parcel: Owner: NELSON,BENJAMIN <br /> 8158 Valley Way Se,Turner,OR 97392 083W36A 00400- Primary <br /> Address: 125 LYNX AVE <br /> AUMSVILLE OR 97325 <br /> u w N LICENSEDROFESS O- ALINFORMATION . .. .5 <br /> Business Name License Address Phone <br /> BETHEL EXCAVATING Installer 36198 PO BOX 504 TURNER OR 97392 (50-3)-743- <br /> License <br /> ERM T' FEES <br /> Fee Description Quantity Amount <br /> Install-Standard subsurface -by gallons per day 1.00 GPD $750.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $850.00 <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:11/17/2020 1 std_BuildingApplication_pr <br />