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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 />TYPE <br />OCGUPN~Y <br /> <br /> ELECTRICAL PERHIT <br />= ~3/B~/96 [5=BB PERNIT NO = 96--~295 <br />= Resident. addition/alteration STATUS = ISSUED <br />: H'! ISSUED : ~3/e~/~996 <br /> TO EXPIRE = ~8/28/[996 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br />: SERVICE & 6-CIR TO WORK SHOP <br /> <br /> 8B37 SILVER FALLS HY SE AM <br /> <br />CITY: MARION COUNTY <br /> <br />CROSS STREET : DUMORE DR <br />PARCEL NUMBER : 75320-110 <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br /> PHONE <br /> <br />CONTRACTOR <br /> PHONE <br /> <br />ELECTRICIAN <br /> PHONE <br /> <br />SUPV ELEC <br />PHONE <br /> <br />: BROADWELL,KENNETH W & ROSELIA J <br /> <br />BROADWELL.KENNETH W & ROSELIA J <br />8837 SILVER FALLS HWY <br />AUMSVILLE, OR <br /> 97325 <br />362-5951 <br /> <br />: BROADWELL,KENNETH W & ROSELIA J <br />: 362-5951 <br /> <br />OCCB: <br /> <br />CONTRACTOR LICENSE: <br /> <br />SUPERVISOR LICENSE: <br /> <br />Units Description Fee <br />i Servi~e/feeders up to 28~ amps 50JB8 <br />6 Branch circuits 12.08 <br />I State surcharge 3.10 <br />I Refund .00 <br /> <br />Assessed fees : 65.10 <br />Adjustments : .00 <br />Totml fees : 65.10 <br />PAYEE: BROADWELL,KENNETH W & ROSELIA J ~o~al paxMents: 65.10 <br />uaiance aue : .00 <br /> <br />THIS PERNIT IS NON-TRANSFERAICE AND EXPIRES 18B DAYS FROfl ISSUE DATE IF WORK HAS <br />NOT CDflHENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 188 DAYS. OR IF WORK <br />FAILS TO HEET ALL REDUIREHENTS OF STA'TE LAWS AND flARION COUNTY ORDINANCES. UPON <br /> <br />WRITTEN REDUEST, OHE SIX NONTH EXTENSION NAY BE GRANT,J). <br /> . <br /> <br />DONDALP E WOODLEY, MARION COUNTY BUILDINBG OFFICIAL / BY TNEAL <br /> <br /> <br />