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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 />DATE/TIHE <br />OT~f~UEp,NCY <br /> <br /> ELECTRICAL APPLICATION <br />&Z/3]/96 ]~:46 <br />Resident. addttton/a~teratton <br />R-3 <br /> <br />ACTZV~TY NO : 96-~699 <br />STATUS = APPLIED <br />APPLIED : ~1/31/1996 <br />TO EXPIRE : 07/29/1976 <br /> <br />WORK I)ESC <br /> <br />SITE ADDRESS : 9264 SHAW SQUARE RD SE AM <br />CROSS STREET : SILVER FALLS HY SE <br />PARCEL NIIMBER : 74510-050 <br />OWNER NAME :MIi. LER, DENNIS ASR & HEIDI T <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br /> PHONE <br /> <br />CONTRACTOR <br /> PHONE <br /> <br />ELECTRIC]AN <br /> RHONE <br /> <br />: MANF SERV/REPLACING OVERHEAD FOR W/ UNDERGRSUND <br /> <br /> CITY: MARION COUNTY <br /> <br />HILLER,DENNIS ~ SR & HEIDI T <br />9264 SHAW SQUARE RD SE <br />AUHSVILL.E~ OR <br /> 97325 <br />~75-2116 <br /> <br />SUPV ELEC <br />PHONE <br /> <br />OCCB: <br /> <br />CONTRACTOR LICENSE: <br /> <br />SUPERVISOR LICENSE: <br /> <br />: fllLL. ER~DENNIS ASR & HEIDI T <br />: 375-2116 <br /> <br />Units Description Fee <br />]] t%-G~~'B-~'e.~. 1 nD T-set vi c e/feed ---- ~ <br />2 Service/feeders up to 200 aMpS .. 100.00 <br />I State surchar§e 7.00 <br />1 Refund .00 <br /> <br /> Assessed fees : 147.00 <br /> AdjustPmnts : .00 <br /> Total fees : 147.00 <br />P~"-~ . Total p~y~ents: 147.00 <br /> RYES: MIi.LER. I)ENNIS ASR & HEIDI T Balance due. : <br /> <br />THIS IS HOT A PERi'lIT. IT IS THE RESPOHSIBIt'ITY OF THE APPLICAHT TO ASSURE THAT <br />ALL NECESSARY INFORHATIO~IS PROVIBEI) AND FEES PAIl) BEFORE A PERNI1r HAY BE ISSUEI). <br /> <br />i)OHALD E. WflOD!..EY~ MARION COUNTY BUlL. DING OFFICIAL BY TNEAL <br />.............................................. FOR OFFICE USE ONLY ...................................... <br /> <br /> HAP: ZONE: PROPERTY LOCATOR: <br /> Pt..AN REV]FW,-.. DATE: ZONING REVIEW: DA'FE: <br /> <br /> <br />