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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 /> ELECTRICAL PERMIT <br />DATE/TIME : 84/~9/96 B9:~6 PERMIT NO = 96-82341 <br />TYPE : Commercial addition/alteration STATUS : ISSUED <br />OCCUPANCY : M-1 ISSUED : 84/89/1996 <br /> TO EXPIRE = 18/86/1796 <br /> <br />WORK DESC : POWER SUF'PtY FOR CABLE BOOSTER~ SVC <br /> <br />SI'FE ADDRESS : CITY: MARION COUNTY <br /> 18244 MILL CREEK RI) SE AM <br /> <br />CROSS STREET : BISHOP <br /> <br />PARCEL NUMBER : 56S60-800 <br /> <br />OWNER NAME <br /> <br />AFFL,ICANT <br /> NAME <br /> ADDRESS <br /> <br /> PHONE <br /> <br />CONTRACTOR <br /> PHONE <br /> <br />ELECTRICIAN <br /> PHONE <br /> <br />SI~F'V EI.EC <br />PHONE <br /> <br />: NORTH SANTIAM COMMIINtCATIONS <br /> <br />: PACIFIC COAST ELECTRIC TNC <br />: PO BOX 651 <br /> <br /> STAYTON, OR 97:~83 <br />: 769-767~ <br /> <br />: PACIFIC COAST ELECTRIC ~NC <br />: 7~-767~ <br /> <br />: PAC'[FIC COAST ELECTRIC INC <br />: 769-767~ <br /> <br />: I;II,..f..ETTE ROBIN AI_.I..EN <br />: GII..LE]'TE ROBIN ALI_EN <br /> <br /> OCCB: 884593S <br />CONTRACTOR LICENSE: 24-172C <br />SLIPERV~SOR LICEHSE: 365SS <br /> <br />!h'~i-i':s De~c: v';i.p~ ion Fee <br />.... ~. service/~'eeders up 'T"'0---~._-~ amps ~ <br />1 State surcharge 2.58 <br />~ Refund . ~8 <br /> <br /> Assessed fees : 52.58 <br /> Ad justMents : . <br /> Total fees : 52.58 <br />PAYFE: PACIFIC COAST ELECTRIC INC Total paxp~ents: .... <br /> Balance due : <br />*********************************************************************************** <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AN~ EXPIRES 1B8 ~YS FRON ISSUE ~ATE IF WORK NAS <br />NOT COMHENCE~, OR IF CONSTRUCTION CEASES FOR A P~IOD OF 188 DAYS. OR IF WORK <br />FAILS TO HEET ~L REQU[REHENTS OF STATE LAWS AND HARION COUNTY ORbXHAHCES. UPON <br />WRITTEN REQUEST, ONE SIX HONTH EXTENSION HAY BE ~ANTED. <br /> <br />SIGNATURE OF APPI..ICANT: <br /> <br />OONI)AI.O E WOI]OLEY~ MARION COIINTY BUIt.DINBG O~FICIAL / BY PMUNRO <br /> <br /> <br />