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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> Marion Salem,OR 97305 <br /> county Permit NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> OREGON <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: MAJ ALT: 4 BDRM SFD (LOT 2 OF 3, P 22-009) MOVING DF 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 /> . 11 . i*�, i 441 <br /> • .9,. A„ <br /> fit 14411d gree2 at", <br /> Business Name License Address Phone <br /> BETHEL EXCAVATING Installer 36198 PO BOX 504 TURNER OR 97392 (50-3)-743- <br /> License <br /> ,'teai',. <br /> PERMIT FEE . <br /> - ..... .. .� �qn«o�"�w .«tie..... �.„_��.a.a�:,.,.,,, .. � .. <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_BuildingApplication pr <br />