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MARION COUNTY BUILDING INSPECTION <br />COMMUNrFY 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 : 84/89/96 09:43 PERMIT HO : 96-82342 <br />TYPE : Commercial addition/alteration STATUS : ISSUED <br />tlCCUPAN~Y : H-1 ISSUED : <br /> TO EXPIRE : 1B/B6/1996 <br /> <br />WORK DFRC . F )WER SUF'PLY FOR CABLE BOOSTER (~vc) <br /> <br />S)'TF A~DRFSS : CITY: AUMSVILLE :t5~ QELMAR ST AM <br /> <br /> ROSS STRFFT : 4TH <br /> <br />PARCFI.. NUMBFR: 5'7779-0~1 <br /> <br />OWNER NAME' <br /> <br />APPLICANT <br /> NAMF <br /> ADDRESS <br /> <br /> PHONE <br /> <br />CONTRACTOI.,' <br /> PHONE <br /> <br />El. FCTRICIAN <br /> PHONE <br /> <br />SI iI:.'V FLFC <br />PHONE <br /> <br />: NORTH SANTAIM COMMUNICATIONS <br /> <br />: PACIFIC COAST ELECTRIC INC <br />: PO BOX 651 <br /> <br /> STAY'EON, OR 97~8~ <br />: 769-7671 <br /> <br />: PACIFIC COAST ELECTRIC INC <br />: 769-7671 <br /> <br />: PACIFIC COAST ELECTRIC INC <br />: 769-7671 <br /> <br />: GILLETTE ROBIN ALLEN <br />: 6ILLETTE ROBIN ALLEN <br /> <br /> OCCB: 0045933 <br />CONTRACTOR LICENSE: 24-192C <br /> <br /> 36,3S <br />SLIPERVISOR LICENSE: ' ~' <br /> <br />ltn~ 'I:F. Descr :Lpt ion Fee <br />........ T. T~i:'O.i:~/fe~O~Fs up ~ amps ~'~ <br />] State surcharge 2.50 <br />1 Refund . ~8 <br /> <br /> Assessed fees : ~.~ <br /> Ad justments : .00 <br /> Total fees : 52.50 <br />F'AYF. F: PACIFIC COAST EI..ECTRT. C '[NC Total pay. D~ents: 52.50 <br /> Balance ~ue .' <br />************************************************************************************* <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 188 DAYS FROH ISSUE DATE IF WORK HAS <br />NOT COMMENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 188 DAYS, OR IF WORK <br />FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY ORDINANCES. UPON <br />WRITTEN REQUEST, ONE SIX MONTH EXTENSION HAY BE GRANTED. <br /> <br />RIGI,IATI, IRE OF AF'F'L. ICANT: <br /> <br />********************************************************************************** <br /> <br />DONDALD E WOODLEY, MARl'ON COIJNTY BLIIL. DINBG OFFICIAl.. / BY F'MUI,IRO <br /> <br /> <br />