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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Chumh 8treat NE · Room 132 · 8al.m, Oregon 97801.3670 <br />Hour~: 8:00-4:30 · Phone: (808) 588-5147 · 24-HR Inspe=flon Line: (503) 378-4427 <br /> <br />ELECTRICAL PERHIT <br /> <br />DATE/TIHE : B6/B3/96 ~5:~B PERHIT NO : 96-B3124 <br />TYPE : Hew Residentia! STATUS : ISSUED <br />OCCUPANCY : R-3 ISSUED : 85/g8/1796 <br /> TO EXPIRE : 11/~4/1996 <br /> <br />WORK I)ESC <br /> <br />S]iTE ADDRESS <br /> <br />: REPL MH SVC FOR MFG 96-2467 & 1CIR/SHOP, 1CIR/PUMP <br /> <br />: CITY: MARION COUNTY <br /> 11555 MCCLELLAN LN SE AM <br /> <br />[:ROSS STREET : W SI'AYTON RD <br />PAR.,EL NUMBER : 75440-0?0 <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> AQPRESS <br /> <br /> PHONE : <br /> <br />CONTRACTOR <br /> PHONE <br /> <br />ELECTRICIAN : <br /> PHONE: : <br /> <br />SI,IPV ELFC : <br />PHONE : <br /> <br />: DENT, MONTGOMERY SHEILA <br /> <br />: DENT, MONTGOMERY SHEILA <br />: 264 LANCASTER DR SE <br /> SALEM, ORE~ON <br /> <br />: I)ENT,MONTGOMERY SHEILA <br />e <br /> <br />77~01 <br /> <br /> OCCB: <br />CONTRACTOR LICENSE: <br />SUPERVISOR LICENSE: <br /> <br />Units Description <br />---T------M~-~ dwe]:!'~ng serw~.-e?~e~ <br /> 2 Branch circuits <br /> I State surcharge <br /> I Refund <br /> <br />F~e <br /> <br />4.08 <br />2.20 <br /> .08 <br /> <br /> Assessed fees : 46.20 <br /> AdjustMents : .00 <br /> Total fees : 46.28 <br />PAYEE: DENT, MONTGOMERY SHEILA Total paxments: 46.20 <br /> Balance due : .00 <br /> <br />THIS PERNIT IS NON-TRANSFERABLE AND EXPIRES 188 l~lYS FROH ISSUE DATE IF ~ORK HAS <br />NOT COHHENCED, OR IF CONSTRUCTION CEASES FOR A .PERIOD OF 188 DAYS, OR IF UORK <br />FAILS TO HEET ALL RE~UIREHENTS OF STATE LAIRS AND HARION COUNTY ORDINANCES. UPON <br />MRITTEH REGUEST~ OHE SIX HOHTH EXTEHS[OH NAY BE GRANTED. <br /> <br />SIGNA'[LIRE OF* APPLICANT: <br /> <br />DONDA[D E WOODLEY, MARION COUNTY BUILD]NB[; OFFICIAL / BY PMUNRO <br /> <br /> <br />