Laserfiche WebLink
MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> A(c21?flfl Salem,OR 97305 <br /> County, Permit NA FAX: <br /> FAX: 503-588.7948 <br /> O R"EGO.N <br /> 555-23-005790-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Bennett Septic Service, LLC <br /> PO Box 551 <br /> Molalla, OR 97038 <br /> cl� , <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: MA] REP: 2 BDRM TO REPL 2 BDRM <br /> Property Address: Parcel: Owner: WILLIAMS, DANIEL <br /> 760 Grand View Ave,Scotts Mills,OR 97375 061E22AC00500-Primary <br /> Address: PO BOX 303 <br /> SILVERTON OR 97381 <br /> r-• '_tea f s ,L�' N FO TION ' "'m .a,� ,.y °� t Mm, . <br /> Business Name License Address Phone <br /> BENNETT SEPTIC SERVICE,LLC Installer/Pu 39252 PO BOX 551 MOLALLA OR 97038 (50-3)-829- <br /> mper <br /> License <br /> `�c _. .•�•,.a, ,,.�A...,... .....�.t s,: ,�� .........' _.�..�.»a,.".»____,,.». P� ,.,,'" S�k sH", .,, �'�^M+ ��., .. "�� .�, `.:' Ste'a <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:07/10/2023 1 std_BuildingApplication pr <br />