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Marion County <br /> Septic Permit Application 5155 Silverton Rd NE <br /> Marion Salem,OR 97305 <br /> Counts' 503-588-5147 <br /> R o.N; <br /> Repair (Minor) - Residential - New Building@co.marion.or.us <br /> Website:co.marion.or.us <br /> 555-24-005835-P RMT <br /> Schedule or track inspections at www.buildingpermits.oregon.gov <br /> Call or text the word "schedule" to 1-888-299-2821 use IVR Number:555024263983 <br /> Schedule using the Oregon ePermitting Inspection App, search"epermitting"in the app store <br /> L Z F a "<e. j°d,s!,,35',, ,'Vk ptRA �'g k , t F Pr 3�c t v 4 :f4;7Vrr <br /> ,+ ., vw s �w <br /> r-Ti*a#fan Dafe:OTt 4Y,RJ2A 4i 4 <br /> � ',, i r c'g�� x �-; f' ,� � `q,?.�s:Y p -F, Y �� ��' $ �; 5v �z��'F�yyr ..,a�": A r�'. <br /> Work descnphon MINtE ' ,2 BQRM SFD(REPLTAI`t � �'� � ��� sx` F" ` <br /> 4 e' o ,� ', s'. '� S vy „r-xvq1. • <br /> t rofic tol frf F ll,�: ' '`. �`.,<„ , ..,:`2s tzliila-3,M:y a.s..� ,..pz_q <br /> ..y.F.,�..��v.1.a�..:� �.�..�P_- ,��x:��t��,.r,«:*�, _ �� s. �yF �.,»r� � 4._ o - ,.. <br /> Applicant: Groundbreaking Excavation,LLC Primary Contractor:Groundbreaking Excavation, LLC <br /> Address: PO Box 670 Installer License:39191 <br /> Lyons OR 97358 Address: PO Box 670 <br /> Phone: 5038846296 Lyons OR 97358 <br /> Email: groundbreakingexc@gmail.com Phone: 5038846296 <br /> Email: groundbreakingexc@gmail.com <br /> Business License: N/A <br /> Owner: BARTHOLOMEW, DENNIS 0 Property address: 49770 North Santiam Hwy SE, Idanha, <br /> Address: 49770 NORTH SANTIAM HY SE OR 97350 <br /> IDANHA OR 97350 <br /> Parcel: 106E22AB01700-Primary <br /> Lot size: N/A Water supply: Well <br /> Zoning: N/A City/County/UGB: N/A <br /> Land use approval: N/A County: N/A <br /> Accessory Dwelling Unit: No <br /> Action: New Type of application: Repair(Minor)-Residential <br /> System failing: N/A Septic tank last pumped: N/A <br /> Comments: N/A <br /> Category of construction: Single Family Dwelling <br /> " -` .,aa "✓`' ids,<`n;;:� .- .« .._,. .., ..,�.....,._ ...m/....E ...�.,,_..< .. A. "�.... „e ,,,�...x,'�, `i `F'�;r,`d.:: r .xis. >. �. .r.�'. .� pose <br /> Number of bedrooms: 2 N/A <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 <br /> Administration Rules. You may obtain copies of the rules by calling the center.(Note:The telephone number for the Oregon Utility <br /> Notification Center is 1-800-332-2344.) <br /> 7/26/24:3:38:36PM ONS_OnsitePermitApplicationjr <br />