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MARION COUNTY BUILDING INSPECTION
<br />COMMUNITY DEVELOPMENT CENTER
<br />
<br /> 285 Church Street NE * Room 132 * Salem, Oregon 97301-3670
<br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 588-7904
<br />
<br />ELECTRICAL PERMIT
<br />
<br />DATE/TIME = ~4/28/95 17=55 STATU~ : ISSUED
<br />PERMIT HO = 95-11268 APPLIED : 03/27/1975
<br />OCCUPANCY : R-~ ISSUED : 04/28/1795
<br />
<br />WORK )F' ;;('; :
<br />S;f]E ADDRESS :
<br />
<br />I;;'ARCEI,.. NUM3;d-T(,,,,
<br />
<br />OWNER NAME :
<br />
<br />AF, PL I CANT
<br /> NAME
<br /> Al) DRESS
<br />
<br />P H O N E :
<br />
<br />CONTRACTOR
<br /> PHONE
<br />ELKCTRIC'[AN
<br /> PHONE
<br />SI,JPV EI.,EC
<br /> PHONE
<br />
<br />MI) SVC REPI,,,ACEMENT
<br />
<br />2]0 MYERS ST DT
<br />
<br />LAKE AVE E
<br />
<br />66969-001
<br />
<br />SI'['T'f~RfJ):FI~T g & AL_];liE R
<br />
<br /> C1 fY, DETRO',[T
<br />
<br />LOCATOR:
<br /> ZONE: RS
<br />
<br />o(.( II~ROI:FRT G & AL. ICE R
<br />6'1,70 H]L, EOD DR hiE
<br />KFIZER, OR
<br />
<br />393-7954
<br />
<br />STERLING HOWES INC
<br />661-4849
<br />
<br />97303
<br />
<br /> OCCB: 96(~86
<br />E[,.EO LIC:
<br />SUPV I,,,IC:
<br />
<br />Ih]ii [:% Descr ip t:i ~n F'
<br />......... ]; ....................... ~i'i~T"-~ ~~ %PZ'fi~'-~'~v]~T(~ / f e e ~ ................................................................................................ Zf'(4' ',','"¢'ff
<br />1 S't:,~'Ir: e s u r c h a r g e 2 ,, 00
<br />:1 Re ftn'ld ,, 00
<br />
<br /> Assessed fees : 42.0~
<br />
<br /> To{'al 'fees : 42,,, ~)0
<br /> Totel payp~ents~ 42,
<br />......................................................................................................... ~lao~:e
<br />~]hlAI ~ E. W[iODIFY~ ~ARZFON COUNTY BUILD]]4(; OF'EICZAI BY CI YNCH
<br /> ] ................. ],,,,,,,' ............... .........................
<br />'(HIS i::'I.:'RH]"~ :l:~-; N('d,I-.-TRAI,iSi..'h, RABLE AND EXPIRES 180 DAYS FROM );S[fiUE. DATE: IE WI)RI( F/AS
<br />NiY[' cr)HNENCED, OR .[E ~. )1o Rt]CT'[')N [,,E. ASF. S FOR A
<br />zA , .¢ M. A. /:d:;'[]UIRi::NEI,ITS OF 8TA'f'E LAWS AND MA;~ ), ;] t,"Y C (D ,A,[ ::S, Ut.-'O,[
<br />(dRZiYI'TEN RI;;])UEST~ ONE SIX ~iON'l'H EXfENSION ~iAY BE GRANTED.
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