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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY 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) 373-4427 <br /> <br />DATE/TIHE <br />TYPE <br />OCCUPAHCY <br /> <br /> ELECTRICAL PERHIT <br />85/88/96 12=39 PERHIT NO : 96-~3175 <br />Resident. addition/alteration STATUS : ISSUED <br />R-3 ISSUED : 85/88/1996 <br /> TO EXPIRE' : 11/84/1996 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br />: MD SERVICE <br /> <br /> 18915 BEAN ALLEY SE ST <br /> <br />CITY: MARION COUNTY <br /> <br />CROSS STREET : STAYTON RD <br />PARCEL NUMBER : 75710-258 <br /> <br />OWNER NAME : NIENKE,RICHARD DALE & DOLORES M <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 />9738~ <br /> <br />CONTRACTOR <br /> PHONE <br /> <br />: PACIFIC COAST ELECTRIC INC <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 />--'~ ...... Manf dwelling s~'gice/feed 7r~0 <br />I state surcharge 2.08 <br />1 Refund .~0 <br /> <br /> Assessed fees : 42.88 <br /> AdjustMents : .80 <br /> Total fees : 42.88 <br />PAYEE: PA.[FIL COAST ELECTRIC INC Total paYMents: 42.88 <br /> Balance ~ue : .~8 <br />********************************************************************************** <br /> <br />THIS PERHIT IS NON-TRANSFERABLE AND EXPIRES 188 D~YS FROH ISSUE DATE IF WORK HAS <br />NOT COHNENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 188 DAYS, OR IF ~ORK <br />FAILS TO HEET ALL REOUIREHEHTS OF STATE LAMS AND HARION COUNTY ORDINANCES. UPON <br />WRITTEN REGUEST~ ONE SIX HONTH EXTEHSIOH MAY BE GRANTED. <br /> <br />SICNATLJRE OF APPLICANT: <br /> <br />DONDAL. D E WOOI)LEY, MARION COUNTY BUILD]NBG OFFICIAL.. / BY MflULL <br /> <br /> <br />