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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 /> ELECTRICAL PERMIT <br />DATE/TINE : B7/03/96 10:05 PERMIT NO : 96-B4933 <br />TYPE : Resident. addition/alteration STATUS : ISSUED <br />OCCUPANCY : R-3 ISSUED : <br /> TO EXPIRE : 12/30/1796 <br /> <br />WORK i)ESC : ALTER/DISCONNECT SERV. & RECr)NNECT SAME PLACE <br /> <br />SITE ADDRFSS : CITY: AUMSV!LLE 740 CLEVELAND ST AM <br /> <br />CROSS STRLET : BETWEEN 7&8TH ST?.HY 22,AMSV EX,RIgHT AFTER RRTRACKS <br /> <br />PARCFL NUMBER 90.1. ~ 0-3,~0 <br /> <br />OWNER NAME : GI..ICK.,WESI_EY <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />: ~t TCK~WESLEY <br />: F'O BOX 902 <br /> Ai!HS\."ILL. E, OR <br /> <br />PHONE : 749-3671 <br /> <br />97325 <br /> <br />CONTRACTOR : ~[.ICK, WESLFY OCCB: <br /> F'HONE ' 749-~671 <br /> <br />ELECt'RICIAN <br /> PHONE <br /> <br />CONTRACTOR LICENSE: <br /> <br />SUF'V El.. :C : <br /> PHONE <br /> <br />SUF'ERVISOR LICENSE: <br /> <br />Uni. ~s <br /> <br /> 1 <br /> 1 <br /> <br />Desc r~t i on Fee <br />~Y-v i ~..e~A-~,~s up ~i~- ,-2'-. Ot~--a-~i~ ~ .............................................................~ <br />Stat~ surcharge 2.~8 <br />Refund .08 <br /> <br /> Assessed fees : 52.58 <br /> Ad .justments : .00 <br /> Total fees : 52.58 <br />PAYEE: GL ICt(., WESLEY Total payments: 5:2.58 <br /> Balance due ' ~ <br />************************************************************************** ****** <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 1B~ ~YS FROM ISSUE DATE IF WORK HAS <br />NOT COMMENCED, OR IF CONSTRUCTION CEASES FOR A P~IOD OF 180 DAYS~OR IF WORK <br />FAILS TO HEET ALL REOU[REHENTS DF STATE LABS AND HAR[ON COUNTY ORDNANCES. UPOH <br />WRITTEN REQUEST, ONE SIX ~ EXTE~SION~ ?E ~~ ~A <br /> <br />************************************************************************************* <br />i)ONDA! ~) E WOODI. EY~ MARION COUNTY BUIIDINBG OFFICIAL / BY DSTONE <br /> <br /> <br />