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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> ~M Churoh Street NE · Room 1~2 · 8Illin, Oregon 97301-~70 <br />Offloe Houm: 8:00-4:~0 · Phone: (50,1) 8M-~147 · 24-HR In~peotlon Line: (50,1) ~7~4427 <br /> <br />DATE/TIHE <br />TYPE <br />OCCUPAHCY <br /> <br />WORK DESC <br /> <br />SIl_ ADQRESS <br /> <br /> ELECTRICAL PERHIT <br />: 85/89/96 14:22 PERHIT NO : 96-83229 <br />: Com.ercial addition/alteration STATUS : ISSUED <br />: B-2 ISSUED : 85/09/1996 <br /> TO EXPIRE : 11/05/1996 <br /> <br />: LIMITED ENERGY <br /> <br /> 13966 EHLEN RD NE AR <br /> <br />CITY: MARION COUNTY <br /> <br />CROSS STREET : <br /> <br />PARCEL NUMBER : 40684-080 <br /> <br />QWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br /> PHONE <br /> <br />CONTRACTOR <br /> PHONE <br /> <br />EI_ECYRICIAN <br /> PHONE <br /> <br />SUPV ELEC <br />PHONE <br /> <br />: BENSON, DONALD C & HELEN-TRUSTEES <br /> <br />: CTA COMMUNICATIONS INC <br />: 1.84 N GRANT <br /> <br /> CANBY. ~R <br />: 266-6~6~ <br /> <br />: CTA COMMUNICATIONS INC <br />: 266-6565 <br /> <br />: CTA COMMUNICATIONS INC <br />· ' 266-6565 <br /> <br />97013-3333 <br /> <br /> OCCB: 0851161 <br />CONTRACTOR LICENSE: 3-254C1_E <br />SUPERVISOR LICENSE: <br /> <br />Units Description . Fee <br />1 'S£gnal ~ircuits 40.0~' <br />I State surchargm 2.08 <br />I Refund .00 <br /> <br /> Assessed fees : 42.08 <br /> AdjustMents : .80 <br /> Total fees : 42.00 <br />PAYEE: CTA COMMUNICATIONS IHC Total payments: 42.08 <br /> Balance ~ue : .08 <br /> <br />THIS PERHIT IS NON-TRANSFERABLE AND EXPIRES 188 DRYS FROH ISSUE DATE IF #ORK HAS <br />NOT COHHENCED, OR IF CO~TRUCTION CEASES FOR A PERIOD OF 180 DAYS. OR IF #ORK <br />FAILS TO HEET ALL REOUIREMENTS OF STATE LAMS AND HRRIOH COUHTY ORDINANCES. UPON <br />WRITTEN REQUEST~ ONE SIX HONTH EXTENSION I~Y BE GRAHTED. <br />SIGNATURE OF APPLICANT: <br /> <br />DON~)ALD E WOODL~Y~ MARION COUNTY BUIL. DINBG OFFIglAL / BY CLYNCH <br /> <br /> <br />