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MARION COUNTY <br /> :;ntr�aa:gean��� <br /> Building Application 5155 Silverton Rd NE <br /> Mc?YIO>t Salem,OR 97305 <br /> county 503-588-5147 <br /> Permit NA FAX: 503-588-7948 <br /> OR.E G.O.N <br /> 555-24-003853-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 /> E z"' R " '�, .ay al^`� �`'` "- - J_� - ^'::: t � .✓ Yet;;ter <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: MAJ REP: 4 BDRM SFD ' <br /> a a 3 "`saw'3it ak 4amIm a mp y -T a�" �i a. <br /> il< ,oeho �` s �' u� B ATE INRI�IAZIN ' r . .. ,.. k • <br /> Property Address: Parcel: Owner: CLEVELAND,JOHN PAUL <br /> 6251 Fruitland Rd Ne,Salem,OR 97317 072W21DD01505- Primary <br /> Address: 6251 FRUITLAND RD NE <br /> /� y� �+�:�t ( � " SALEM OR 97317 <br /> t np e s� s r `��y-a �S P ki:0•'• E AL IN FO*A O ' �6+ #** �' ¢°"�,"�4g t S a a r,,t$ <br /> ,����� .�,.�E a°,y�td'a�.. r,,,..�, „�.� -� �. � ✓ .... '� `�..�.. .. ....v.,. <br /> Business Name License Address Phone <br /> BETHEL EXCAVATING Installer 36198 PO BOX 504 TURNER OR 97392 503-743-2343 <br /> License <br /> P� g' F Y �-.9„q Y t �'T B,F' b✓n,r a ^, Ts aTS 3 >Y"S � �°'r S <br /> pEE <br /> Fee Description Quantity Amount <br /> Repair(major) -single family dwelling 1.00Ea $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:05/12/2024 1 std_BuildingApplication pr <br />