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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) 373-4427 <br /> <br />DATE/TIME <br />TYPE <br />OCCUPANCY <br /> <br /> ELECTRICAL PERMIT <br />: 87/17/96 86:38 PERHIT NO : 96-8498? <br />: Resident. addition/alteration STATUS : ISSUED <br />: R-3 ISSUED : 87/17/1996 <br /> TO EXPIRE : 81/13/1997 <br /> <br />~40RK DESC <br /> <br />: HARDSHIP MD SERVICE <br /> <br />~;iTE ADDRFSS : <br /> <br />CITY: MARION COUNTY <br /> <br />8714 SHAW SQ SE AM <br /> <br />3ROSS STREET : o..:~..-~cKFALLS HWY <br />Z'ARCEL NUMBER : 75300-970 <br /> <br />]WNER NAME <br /> <br />~PPLICANT <br /> NAME <br /> .ADDRESS <br /> <br />: FLOWERS, JERRY <br /> <br />FLOWERS, JERRY <br />8714SHAW SQUARE RD SE <br />AUMSVILLE <br />OR 97325 <br />585-5937 <br /> <br />LARRY L MARPLE ENTERPRISES INC <br />777-8228 <br /> <br />' OCCB: <br /> <br /> PHONE <br />:ONTRACTOR <br /> .PHONE <br /> <br />{LECTRICIAN : CONTRACTOR LICENSE: <br /> PHONE : <br /> <br />;UPV ELEC : SUPERVISQR. LICENSE:~'~ <br />PHONE : '--~ <br /> <br /> ~' ~: :~Fee <br /> Units Description ...:~. <br /> 1 Manf dwell'ing servi'ce/'~eed <br /> '~"~' 2. B~!' <br /> I State surcharge '~m'7- 40.~. <br /> <br /> 1 Refund <br /> <br />08700e5 <br /> <br /> Assessed fees : 42.88 <br /> AdjustMents : <br /> Total fees : 42.08 <br />PAYEE: FLOWERS, JERRY Total paxMents: 42.88 <br /> Balance due : <br /> <br />THIS PERNIT IS NON-TRANSFERABLE AND EXPIRES 188 DAYS FRON ISSUE DATE IF WORK HAS <br />NOT CONNENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD DF 188 DAYS. OR IF k'ORK <br />FAILS TO MEET ALL REDUIREHENTS OF STATE LAWS AND HARION COUNTY ORDINANCES. UPON <br />~RITTEN REQUEST, ONE SIX MONTH EXTENSION MAY BE GRANTED. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />********************************************************************************** <br /> <br />DONDALD E WOODLEY, MARION COUNTY BUILDINBG OFFICIAL / BY MBULL <br /> <br /> <br />