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MARION COUNTY BIJILD!NG INSPECTION <br /> COMMUNFrY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Houm: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Uno: (503) 588-7904 <br /> <br />DATE/TI~E. <br />TYPE <br />_O~CUP~4CY <br /> <br /> ELECTRICAL PERHIT <br />82/13/96 16:15 ~1~14IT NO = 96-B~938 <br />Com.ercial addition/alteration STATUS : I~LIED <br />B-2 ISSUED : 82/13/1996 <br /> TO EXPIRE : 88/11/1996 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br />SVC 7 CIR FOR BIJS?6-938 <br />995 OI.NEY ST AM <br /> <br />CROSS STREET : <br /> <br />PARCEL NUMBER : 57801-786 <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> "N~ME <br /> ADDRESS <br /> <br /> PHONE <br /> <br />CONTRACTOR <br />PHONE <br /> <br />ELFCTRICIAN <br /> PHONE <br /> <br />'StlPV EL.FC <br />PHONE <br /> <br />: BROWN,MARGARET J <br /> <br />: GRISWOLD MARKS <br />: ~2856 .JENNIE RD <br /> <br />LYONS, OR 97~58 <br /> <br />GRISWOLD MARK S <br />859-~2t4 <br /> <br />: GRISWOLD' ELECTRIC <br />: 857-2~14 <br /> <br />: GRISWOtD MARK STERLING <br />: GRISWOLD MARK STERLING <br /> <br />CITY: AUMSVILLE <br /> <br /> OCCB: 0063386 <br />CONTRACTOR LICENSE: 24-23BC <br />SUPERVISOR LICENSE: 3416S <br /> <br />tlnJ, ts Description Fee <br />~ Sbrvice/feederS Lip to' 20~ amps ~ <br />7 Branch c~rcu~ts 14.00 <br />1 State surcharge 3.20 <br />] Refund .00 <br /> <br /> Assessed fees : 67.20 <br /> Adjustments : .00 <br /> Total fees : 67.20 <br /> Tote] payments: 67.20 <br /> .... PAYEE: ~RISWO!D MARK S Balance due : .00 <br /> <br /> · THIS PI~IT IS HON-T~BLE A~D EXPIRES 18~ I~Y5 FRO~ ISOUE D~TE IF ~ ~S <br />' ~T.~D~ ~ IF ~T~Ti~ .~ES F~ A P~IOP ~ 1~ DAYS. OR IF ~RK <br /> F~[LS ~0 ~ ~L ~m[R~S ~ S~aT[ ~ ~m ~[m ~Y ~[W~CgS. UPm <br /> <br />.... SIGHATURE OF APPLICAHT: <br /> <br /> DONOAL~ E WOOOLEY~ MARION COUNTY ~UIL~IN~ OFFICIAL / BY CLYNCH <br /> <br /> <br />