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MARION COUNTY BUILDING INSPECTION <br /> COMMUNrrY DEVELOPMENT CENTER <br /> <br /> 2U Ohumh etreet NE · Room 13~ · klem, Oregon e7'~01-~70 <br />offl,~ Houm: 6:00.4:30 · Phone: (~}~) 888-6147 · ~A-HR Inepe~tlon Line: (B0~) 31'~.4427 <br /> <br />DATE/TIHE <br /> <br /> ELECTRICAL PERHIT <br />~4/22/96 13=48 <br />Commercial addition/alteration <br />8-2 <br /> <br />PERHIT HO : 96-e2726 <br /> <br />STATUS ISSUED <br />ISSUED I ~4/22/1996 <br /> <br />TO EXPIRE : 1B/19/1996 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br />: TEMP SERV; 40B AMP SERV; 30-BRANCH CIRCUITS <br /> <br />: CITY: AUMSVILLE <br /> 618 MAIN ST AM <br /> <br />CROSS STREET : N/A (FIGARO'S PIZZA) <br /> <br />PARCEL. NUMBER <br /> <br />OWNER NAME : THOMAS, DAVID <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />: PACIFIC COAST ELECTRIC INC <br />: PO BOX 651 <br /> <br /> STAYTON, OR <br />PHONE : 769-7671 <br /> <br />97383 <br /> <br />CONTRACTOR <br /> PHONE <br /> <br />PACIFIC COAST ELECTRIC IHC <br />769-7671 <br /> <br />ELECTRICIAN <br /> PHONE <br /> <br />: PACIFIC COAST ELECTRIC INC <br />: 769-7671 <br /> <br />SUPV ELEC <br />PHONE <br /> <br />: GILLETTE ROBIN ALLEN <br />: GILLETTE ROBIN ALLEN <br /> <br /> OCCB: 8845933 <br />CONTRACTOR LICENSE: 24-192C <br />SUPERVISOR LICENSE: 3653S <br /> <br />Units Description Fee <br />...... I 'Sbrvic'~ feedef's~ 281"~00 amps 6B.~B <br />1 TeMp serv/feeds up to 20~ amps 35.B0 <br />3~ Branch circuits 6~.BB <br />I State surcharQe 7.75 <br />1 Refund .BB <br /> <br /> Assessed fees : 162.75 <br /> Adjustments : <br /> Total fees : 162.75 <br />PAYEE: PACIFIC COAST ELECTRIC INC Total paxMents: 162.75 <br /> Balance ~ue : .08 <br /> <br />THIS PERHIT IS #ON-TRANBFEI~BLE AND EXPIRES 18~ DAYS FR~ ISSUE DATE IF WORK HAS <br />"OT_CQHHENCED, ~ IF C~TRUCTI~ ~ASES F~ A P~XO~ OF <br />FAILT~S D ~ET ALL RE~I~T~ OF STATE LAUS AND HARIDN COUNTY ORdiNANCES. UPON <br />WRITTEN REQUEST, ONE SIX ~EXTE~I~H HAY BE GRANTED. <br /> <br />DONI)AL.D E WODDLEY.~ MARION COUNTY BUILDINBG OFFICIAL / BY DSTONE <br /> <br /> <br />