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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/TIME <br />TYPE <br />OCRUPN,ICY <br /> <br /> ELECTRICAl. PERMIT <br /> <br />: Resident. addition/alteration <br />= R-~ <br /> <br />PERHIT MO : 96-01566 <br />STATUS : ISSUED <br />ISSUED : ~3/~2/1996 <br />TO EXPIRE = ~9/~8/~996 <br /> <br />WORK OF.SC <br /> <br />: SERV/5/CIR FOR SHOP <br /> <br />,'4) TF ADDRF',qS <br /> <br />CITY: MARION COUNTY <br /> <br />11~84 EHI.EN RD NE AR <br /> <br />CROSS STRFFT : <br /> <br />PARCEl. NIJMBER : 48S21-000 <br /> <br />OWNER NAMF <br /> <br />APPI.'[CANT <br /> NAMF <br /> AOI)RESS <br /> <br /> PHONE <br /> <br />CONTRACTOR <br /> PHf}NE <br /> <br />Fl FCTR:rCIAN <br /> PHONE <br /> <br />SHPV FI. FI"; <br />PHONE <br /> <br />: HYDFR, RAI PH M <br /> <br />: FNgFIMAN FtFCTRIC. INC <br />: PO BOX 451 <br /> <br /> HUBBARD, OR <br />: 981.-~041. <br /> <br />: FNF, F[MAN EI. FCTR)C IN(': <br />: 9~1.-804t <br /> <br />: FN(~F[ MAN FI FCTR~C ]NC <br />: 981-B~4! <br /> <br />: FN6FL. HAN W~I.[]AM K <br />: ENGM,HAN W[M,.IAM K <br /> <br />9703? <br /> <br /> OCCB: 8094581 <br />CONTRAC'iOR LICENSE: 24-4~C <br />SUPFRVISOR LICENSE: 1433S <br /> <br />tin J 'U.s. DPsc r ~; .~ OD <br />.... l: ........... -A.-p.-Fv.~TT~.-~-.,tm's up f:O ~ aMpS <br />5 Branch (: J rc't~J, ts <br />I Stat~ surcharge <br />~ RPfund <br /> <br />Fee <br /> <br />10.00 <br /> 3.00 <br /> .00 <br /> <br /> A~sses~.d 'fees : 63.00 <br /> Ad jttS~M~Dts : · <br /> Total f~es : ~. <br />F'AYFF: FNGFI MAN FI FCTRTC IN('t Total pax~,~ents: 53.80 <br /> Bal. anc~ due : . <br /> <br />T~IS PEE~IT IS NQH-TEANSFERABLE A~ EXPIRES 188 ~AYS FRO~ ISSUE ~ATE IF WORK HAS <br />~T ~8~FN~EB, ~R IF C~STRU~TI~N CEASES FOR A P~[O~ OF 188 ~AY~. OE IF WORK <br />FAII.S TO ~EET ALL REg~IEE~ENTS OF STATE LAWS AN~ ~ARION COUNTY OEBINANCES. <br />~FN RF~IFST, ~F SlX ~NTH EXTFNSI~N ~AY BE <br /> <br />SIGNAT!JRE OF APPI,'[CANT: <br /> <br />OONQAID E WOOOLEY~ MARION COUNTY BUIL. OINSG OFF~C'[AL / BY MBULL <br /> <br /> <br />