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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 PERNIT <br />TE/TIHE : ~1/23/96 13:14 PERHIT NO : 96-~515 <br />YPE : New Residential STATUS : ISSUED <br />OCCUPANCY : R-3 ISSUED : 81/23/1776 <br /> TO EXPIRE : 87/21/1796 <br /> <br />WORK DESC <br /> <br />SIIE ADDRESS <br /> <br />WIRING NEW HOUSE <br /> <br /> 14736 AL. BERS WY NE AR <br /> <br />CITY: AURORA <br /> <br />CROSS STREET : AIRPORT RD'NE <br />PARCEl. NUMBER : 98148-B61 <br /> <br />OWNER NAME <br /> <br />APPLICANT <br />· NAME <br /> ADDRESS <br /> <br /> PHONE <br />CONTRACTOR <br /> PHONE <br />FLECTRICIAN <br /> PHONE <br /> <br />SUPV ELEC <br />PHONE <br /> <br />: LEWIS~S~EPHEN R & DONALD,CHARLES <br /> <br />: HILLER ELECTRIC INC <br />: PO BOX 17277 <br /> SALEM, OR <br />: 390-9522 <br />: HILLER ELECTRIC INC <br />: 39B-9522 <br /> <br />: MILLER ELECTRIC IN[; <br />: 590-9522 <br /> <br />: MILLER RANDALL <br />: HILLER RANQALL <br /> <br />97385-7777 <br /> <br /> OCCB: 8188338 <br />CONTRACTOR LICENSE: 24-324C <br />SUPERVISOR LICENSE: 3573S <br /> <br />Units Description Fee <br />~ -~l'l~g ~l~'Etrical fee 254,18 <br />I State surcharge 13.21 <br />1 Refund .08 <br /> <br /> Assessed fees : 277.39 <br /> ~Ad~ustments : .00 <br /> Tofal fees : 277.39 <br /> Total paxMents: 277.39 <br />PAYEE: MILLER EI..ECTRIC INC Balance due : .00 <br /> <br />THIS PERHIT IS MOM-TRANSFERABLE AND EXPIRES 188 ]~YS FRDH ISSUE DATE IF #ORK HAS <br />HOT COHHENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 188 DAYS, OR IF #ORK ' <br />FAILS TO HEET ALL REOUIREHENTS OF STATE LA~S AHD HARIOH COUNTY ORDIHAHCES. UPON * <br />~RITTEH REOUEST~ OHE SIX HOHTH EXTENSION HAY BE GRANTED. <br />SIGNATURE OF' APPLICANT: <br /> <br />DONDALD E ~O~LEY. MARION COUNTY BIlIL, DIN~fi OFFICIAL / BY HflUL, L <br /> <br /> <br />