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Marion County
<br /> w_ Septic Site Evaluation Application 5155 Silverton Rd NE
<br /> 4~ '` �� Salem,OR 97305
<br /> Marion
<br /> County 503-588-5147
<br /> Residential Site Evaluation Building@co.marion.or.us
<br /> Q R;E.G:O'N
<br /> Website:co.marion.or.us
<br /> 555-24-005116-EVAL
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<br /> Applic on ata dat" }1/02/2024r
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<br /> Work description sSITE /AL FOR FUTUJR E 4BDRM"SEl3 r #F A &Ia ✓ i.
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<br /> Applicant: Bethel Excavating Primary contractor: Bethel Excavating
<br /> Address: PO Box 504 Installer License:36198
<br /> Turner OR 97392 Address: PO Box 504
<br /> Phone: 5037432343 Turner OR 97392
<br /> Email: office@bethelexc.com Phone: 5037432343
<br /> Email: office@bethelexc.com
<br /> Owner: ALMINA LARSON FAM TR Property address: 20610 Bridge Creek Rd SE,Silverton,
<br /> Address: 410 LOAR RD NE OR 97381
<br /> SILVERTON OR 97381
<br /> Parcel:081 E01 B 00301 -Primary
<br /> Lot size: N/A Water supply: Well
<br /> Zoning: N/A City/County/UGB: N/A
<br /> Accessory Dwelling Unit: No
<br /> Proposed use of structure: N/A
<br /> Category of construction: Single Family Dwelling
<br /> r�po,'�i4 �'
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<br /> Number of bedrooms: 4
<br /> CALL BEFORE YOU DIG...ITS THE LAW
<br /> ATTENTION:Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth by Oregon Administration Rules. You may obtain
<br /> copies of the rules by calling the center.(Note:The telephone number for the Oregon Utility Notification Center is 1-800-332-2344.)
<br /> 7/2/24:4:27:53PM Page 1 of 1 ONS_OnsiteEvaluationApplication_pr
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