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MARION COUNTY BUILDING INSPECTION <br />COMMUNn'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 Inepecflon Line: (503) 588-7904 <br /> <br />DATE/TIHE <br />TYPE <br />OCCUPANCY <br /> <br />: B4/19/96 15:~1 <br />: Ne. Commercial <br />: R-3 <br /> <br />ELECTRICAL PERMIT <br /> <br />PERHIT NO : 96-82691 <br />STATUS : ISSUED <br />ISSUED : 84/17/1976 <br />TO EXPIRE : 18/16/1996 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br />: TEMP/7CIR FOR BRIDGE CONST AT NE INTERSECTION <br /> <br />: CITY: AUMSVILLE <br /> 8500 GOLF CLUB RD SE AM <br /> <br />(]ROSS STREET : HWY 22 <br />PARCEL NUMBER : AM - <br /> <br />OWNER NAME : ODOT <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br /> PHONE <br /> <br />CONTRACTOR <br /> PHONE <br /> <br />ELECTRICIAN <br /> PHONE <br /> <br />SUPV ELEC <br />PHONE <br /> <br />: EC COMPANY <br />: PO BOX 10286 <br /> <br /> PORTLAND, OR <br />: 224-362~ <br /> <br />: EC COMPANY <br />: 224-362~ <br /> <br />: LINNCO ELECTRIC CO <br />: 926-4266 <br /> <br />: COBURN WILLIAM R <br />: COBURN WILLIAM R <br /> <br />97210 <br /> <br /> OCCB: 0049737 <br />CONTRACTOR LICENSE: 22-15C <br />SUPERVISOR LICENSE: 3257S <br /> <br />Units Description _ <br />---~--'-~_eMp Serv/feeds'~P'to' 2~0 aMpS <br /> 7 Branch circuits <br /> 1 State surcharge <br /> i Refund <br /> <br />Fee <br /> <br />35'."0~ <br />I4.00 <br /> 2.45 <br /> .08 <br /> <br /> Assessed fees : 51.45 <br /> AdjustMents : .88 <br /> Total fees : 51.45 <br />PAYEE: EC COMPANY Total paxments: 51.45 <br /> Balance due : .00 <br /> <br />THIS PERHIT IS NON-TRANSFERABLE AND EXPIRES 188 DAYS FRON ISSUE DATE IF WORK HAS <br />NOT COHNENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 188 DAYS. OR IF WORK <br />FAILS TO HEET ALL REOUIREHENTS OF STATE LAWS AND HRRION COUNTY ORDINAHCES. UPON <br />WRITTEN REGUEST, OHE SIX HOHTH EXTENSION HAY BE [,RAHTED. <br /> <br />SIGNATURE OF APPLICANT: <br />********************************************************************************** <br />DONDA!.D E WOODLEY, MARION COUNTY BUIL,~INBG OFFICIAL / BY MBULL <br /> <br /> <br />