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<br />-- <br /> <br />ÐATE/TtHE <br />TYPE <br />OCCUPANCY <br /> <br />II <br /> <br />MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br />285 Church StrHt HE . Room 132 . Sal8m, Oregon 873014870 <br />Office Houl'8: 8:00-4:30 . Phone: (503) 588-5147 . 24-HR In8pectlon LIne: (503) 373-4427 <br />flFCTRICM PFRttIT <br />PERKIT NO <br />STATUS <br />ISSUED <br />TO EXPIRE <br /> <br />: '5/~1/96 t8:47 <br />: Resident. addition/alteration <br />: R-3 <br /> <br />: 96-83471 <br />: ISSUED <br />: 85/21/1996 <br />: 11/17/1996 <br /> <br />---------------------------------------------------------------------------- <br /> <br />WORK DFSC : 2/CIR PANEL WTTH 30 & 20 AMP RV PLUG <br />SITE ADDRESS: <br /> <br />CITY: DETROIT <br /> <br />Ulf\ BRFTTENFIlISH RD DT <br /> <br />CROSS STREF.T : HWY ~2 <br />PARCEL NUMflFR: 90"1-347 <br /> <br />OWNER NAME <br />APPLICANT <br />NAME <br />ADDRESS <br /> <br />PHONE <br /> <br />CONTRACTOR <br />PHONE <br /> <br />RF.CTRn:tAN <br />PHONE <br /> <br />SUPV (I.F.C <br />PHONF <br /> <br />Units <br />~. <br />1 <br />j <br /> <br />: LAYMAN,ROÐERT & BERNE ICE DBA <br /> <br />: CONSUMERS POWER tHC <br />: PO BOX 11 B0 <br />PHILOMATH, OR <br />: 929-3124 <br /> <br />97370 <br /> <br />: CONSUMERS POWER tNC <br />: 929-3124 <br />: CONSUMERS POWER INC <br />: 929-3124 <br />: H¡:':RING ALVIN J <br />: HERING ALVIN J <br /> <br />OCCB: 004424B <br /> <br />CONTRACTOR LICENSE: 2-4BC <br /> <br />SUPERVISOR LICE~ISE: 3060S <br /> <br />Descri.r;¡tion <br />SeTvlce/feeðers up to 200 aMps <br />State surcharge <br />Refund <br /> <br />Fee <br /> <br />50.00 <br />2.50 <br />.00 <br /> <br />Assessed fees: 52.50 <br />AdjustMents: .00 <br />Total fees: 52.50 <br />PAYEE: CONSlIHFRS POWER IHC Total paYP\ents: 52.50 <br />Balance due: .00 <br />********************************************************************************** <br />THIS PER"!T IS NOM-TRANSFERABlE AND EXPIRES lS'IAYS FROK ISSUE DATE IF WORK HAS <br />~IL~orro~J' ~ ¡~05~~II= ~~'~S l~= ~~tof Cl&-~~I>I~gS~PON <br />WRITTEN REQUEST, 0tÆ SIX ItOMTH EXTENSION MY BE GRANTED. <br />SIGNATIJRI: OF APPLICANT: <br />---------------------------------------------- <br /> <br />********************************************************************************** <br />OONÐAI~ E WOODLEY, MARION COUNTY BIJILDINeG OFF1CIAL / BY MBULL <br />