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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Maria? Salem,OR 97305 <br /> COLl77t1J Permit NA 503-588-5147 <br /> R" E D FAX: 503 588 7948 <br /> OREGON �� J/ � <br /> 555-21-000404-PRMT-01 <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Bethel Excavating <br /> PO Box 504 <br /> Turner, OR 97392 <br /> TYPE OF WORK "' _:: :..H <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified None specified $0.00 <br /> Description of Work: FIRE - AUTH MIN REP: COMMERCIAL 3 EMPLOYEES <br /> JOB SITE INFORMATION <br /> Property Address: Parcel: Owner: WJD LLC <br /> 250 Front St N, Detroit, OR 97342 105E01BC15400 - Primary <br /> Address: 1295 12TH ST SE <br /> SALEM OR 97302 <br /> LICENSED PROFESSIONAL INFORMATION <br /> Business Name License Address Phone <br /> BETHEL EXCAVATING Installer 36198 PO BOX 504 TURNER OR 97392 (50-3)-743- <br /> License <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:01/14/2021 std_BuildingApplication_pr <br />