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MARION COUNTY BUILDING INSPECTION <br />COMMUNrrY DEVELOPMENT'CENTER <br /> <br /> 285 Church Street NE · Room 132 · ~lem, Oregon 97301-3670 <br />Office Hour~: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 588-7904 <br /> <br /> ELECTRICAL PERHIT <br />DATE/TIHE : e2/B6/96 lB:CB PERHIT HO : 96-~818 <br />TYPE : Resident. addition/alteration STATUS : ISSUED <br />OCCUPANCY = R-3 ISSUED : 82/86/1996 <br /> TO EXPIRE = 88/84/1796 <br /> <br />WORK I)ESC : 200-AMP SERVICE (REPL. ACi~NG OLD BURNED UP SERVICE) <br /> <br />~!'rE A~DRESS : CITY: MARION COUNTY <br />12492 DIECKMAN LN SE AM <br /> <br />CROSS STREE'; : STAYTON MARION <br />PARCEl, NUMBER : 61~22-000 <br /> <br />OWNER NAME <br /> <br />APPL. ICANT <br /> NAME <br /> AQ~RESS <br /> <br /> PHONE <br /> <br />CONTRACTOR <br />PHONE <br /> <br />!=L ECI'RICIAN <br /> PHONE <br /> <br />SUPV ELEC <br />PHrJNE <br /> <br />: GRAY,WARREN S & JAN~CE L-TRUS¥ <br /> <br />: PACIFIC COAST ELECTRIC INC <br />: PO BOX 651 <br /> <br /> STAYTON~ OR 97~8~ <br />.: 769-7671. <br /> <br />: PACIFIC COAST ELECTRIC lng <br />: 769-7671 <br /> <br />: PACIFIC COAST ELECTRIC INC <br />: 769-7671 <br /> <br />: GILLETTE ROBIN ALLEN <br />: GILLETTE ROBIN ALLEN <br /> <br /> OCCB: 8045933 <br />CONTRAC'IOR I. ICENSE: 24-192C <br />SUFERV]~.OR LICENSE: 3653S <br /> <br />Units Descriotim~ Fee <br />'$ ~-=v-'~Ee--/f~eOers up to"200 amps ~ <br />1 State surcharQe 2.50 <br />I RefLmd .00 <br /> <br /> Assessed fees : 52.50 <br /> AdjustMents : .00 <br /> Total fees : 52.58 <br /> Total paxMents: 52.50 <br />PAYEE: PACIFIC COAST ELECTRIC IN{':_ Balance ~L~e : .00 <br /> <br />THIS PERMIT IS MOM-TRANSFERABLE AND EXPIRES 188 DAYS FROH ISSUE DATE IF ~ORK HAS <br />MOT COMMEMCED~ OR IF COHSTRUCTIOH CEASES FOR A PERIOD OF 188 DAYS, OR IF WORK <br />FAILS TO MEET ALL REQUIREMEMTS OF STATE LAMS AMD MARIOH COUMTY ORDIMAMCES. UPOM <br />#RITTEM REQUEST, OME SIXJ~TH EXTEMSIOM MAY BE GRANTED. '~ <br /> <br />****************************************************************** **.***. <br />DONDAI.P E W[!ODL_EY, HAR!ON COUNTY BUII_PlIqB~ OFFI£,tAL / BY DSTONE ~ <br /> <br /> <br />