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MARION COUN'I'Y BUILDING INSPECTION <br />COMMUNI'I'Y 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 />OCCUPANCY <br /> <br /> ELECTRICAL PERMIT <br />04/11/96 12:54 PERMIT HO : 96-82442 <br />Resident. addition/alteration STATUS : ISSUED <br />R-3 ISSUED : B4/11/1796 <br /> TO EXPIRE <br /> <br />WORK OESC <br /> <br />: 1 CIR FOR HOT ]*lib <br /> <br />S~i' TE ADDRI: SS : <br /> <br />CITY: MARION COUNTY <br /> <br />12993 EHI.EN RD NE AR <br /> <br />CROSS STRFET : <br /> <br />FARCF NUMBER : <br /> ...... 4(4342-000 <br /> <br />OWNER NAME <br /> <br />APPI..ICANT <br /> NAME <br /> ADDRESS <br /> <br /> PHONE <br /> <br />CONTRACTOR <br /> PHONE <br /> <br />F[.FCTRICIAN <br /> PHONE <br /> <br />SIIPV ELEC <br />PHONE <br /> <br />: GHIGLIERI,LORENZO <br /> <br />: BEAR ELECTRIC INC <br />: PO BOX 389 <br /> <br /> DONALD. OR <br />: 678-1~5 <br /> <br />: BEAR EL. ECTRIC INC <br />: 678-1755 <br /> <br />: BEAR ELECTRIC INC <br />: 982-95~7 <br /> <br />: LEMONS GORDON <br />: [.EMONS GORDON <br /> <br />97820 <br /> <br /> OCCB: 0020919 <br /> <br /> CONTRACTOR LICENSE: 24-107C <br /> <br /> SUPERVISOR LICENSE: 2734S <br /> <br />[l'n~ ts Desc~)~t ion Fee <br />..... T. '~'7 nc-l~ ~.~ .t-i'~-..4' 3'~.~ <br />.1 St~te surcharge 1.75 <br />1. Refund . ~ <br /> <br /> Assessed fees : 36,75 <br /> AdjustMents : .00 <br /> To~a]. fees : 36.75 <br />PAYEE: BEAR EI.ECTRIC INC Total p~yme~ts: ~6.75 <br /> B~]ance ~ue : .00 <br />********************************************************************************** <br /> <br />THIS PERHIT IS MOM-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUE DATE IF WORK HAS <br />MOT COMMENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 1BO DAYS. OR IF WORK <br />FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AHD MARIOH COUHTY ORDIHAMCES. UPON <br />WRITTEH RE~UEST~ OHE SIX MONTH EXTEMSIOH HAY RE GRANTED. <br /> <br />SIGNATURE OF: APPLICANT: <br />********************************************************************************** <br />DONDALD E WOODLEY, MARION COUNTY BU]'I_DINBG OFFICIAL / BY CLYNCH <br /> <br /> <br />