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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 />Off~e Hours: 6:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection IJne: (503) 588-7904 <br /> <br />DATE/TIHE <br />TYPE <br />OCCUPAHCY <br /> <br /> ELECTRICAL PERHIT <br />84/83/?6 14:51 <br />Resident. addition/alteration <br />H-1 <br /> <br />PERHIT #0 : 96-~2235 <br />STATUS : ISSUED <br />ISSUED : 84/83/1996 <br />TO EXPIRE : 89/38/1976 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br />: SHOP SVC & 5 CIE <br /> <br /> 870 10TH PL AM <br /> <br />96-32 <br /> <br />CITY: AUMSVILLE <br /> <br />CROSS STREET : HAZEL ST <br /> <br />PARCEL. NUMBER : 90012-041 <br /> <br />OWNER NAME : CLAYTON SABINE HOMES <br /> <br />APPLICANT <br /> NAME <br /> . ADDRESS <br /> <br />: MILLER ELECTRIC INC <br />: 7836 BURTON PL SE <br /> <br /> SALEM, OR <br />PHONE : 58~-3935 <br /> <br />97303-8008 <br /> <br />CONTRACTOR <br />PHONE <br /> <br />: MILLER ELECTRIC INC <br />: 585-3?35 <br /> <br />OCCB: 0180330 <br /> <br />ELECTRICIAN <br /> PHONE <br /> <br />: MILLER ELECTRIC INC <br />: 390-9522 <br /> <br />CONTRACTOR LICENSE: 24-324C <br /> <br />SUPV ELEC <br />PHONE <br /> <br />: MILLER RANDALL <br />: MILLER RANDALL <br /> <br />SUPERVISOR LICENSE: 3573S <br /> <br />Units Description <br />i' Service/~eeders up t.o 2~0 am.ps <br />5 Branch circuits <br />1 State surcharge <br />i Refund <br /> <br />Fee <br /> <br />10.88 <br />3.0'8 <br /> <br /> Assessed fees : 63.80 <br /> Adjustments : .00 <br /> Total fees : 63.0~ <br />PAYEE: MILLER ELECTRIC INC Total paxments: 63.88 <br /> Balance due · <br />********************************************************************************** <br />NOOHE![PISc~E~ITD~S NOH-TRAN~ERABLE ANO EXPIRES 188,!~AYS FROH I~UE DATE IF ~ ~S <br /> T ~ ~E , OR IF CO~T~CTI~ CEASES F~ A P~IOD ~ ~80 DAYS. OR IF ~RK <br />FAILg TO HEET ALL RE~I~Tg ~ ~TATE LA~ ~D ~IOH CO~TY ORDINANCES. UPON <br />WRI~ REQUEST, ONE SiX HOH~ EX~HSION HAY ~ ~HTED. ' <br /> <br />SIGNATURE OF APPLiCaNT: <br /> <br />DONDflLD E WOBDLEY~ M~RION COUNTY ~UIL~IN~G OFFICIAL / ~Y CLYNCH <br /> <br /> <br />