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MARION COUNI" BUILDING INSPECTION <br />COMMUNll f 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 />OCCUPANCY <br /> <br /> ELECTRICAL PERNIT <br />: 06/1~/76 11:18 <br />: Comnercial addition/alteration <br />: B-2 <br /> <br />PERMIT HO : 76-e4123 <br />STATUS : ISSUED <br />ISSUED : ~6/1~/1996 <br />TO EXPIRE : 12/~7/1996 <br /> <br />WI)RI( 1)ESE : SERVICE & IRRG PHMP (BUTLER VALLEY FAR,MS) <br /> <br />S)TE AI);)RESS : <br /> <br />Cf'FY: MARION COUNTY <br /> <br />10784 MILL CREEK RD SE AM <br /> <br />!:ROSS S!R[q:'F : ~llSH(lf' RI) <br />PARCEl N)iMSER : 56417-800 <br /> <br />(IWNER NAHE <br /> <br />APPLICANT <br /> NAHE <br /> Al)DRESS <br /> <br /> PHI)NE <br /> <br /> PHONE <br /> <br /> [-CTR~fC] AN <br /> PHONE <br /> <br />SUPV ELEC <br />PHONE <br /> <br />BU'I[.ER, TIHOTHY ,J & ,)(!AN M-TRUST <br /> <br />PACIFIC COAST EI_ECTR1C INC <br />PI) BOX 65~ <br /> <br />749-7471 <br /> <br />PACIFIC COAS1 ELECTR!C INC <br />749-7671 <br /> <br />F'A( TFIC COASI E[ECT~.~IC tnb <br />76~-7671 <br /> <br />(;]~ LETTE ROBIN ALLEN <br />(;t'[ f. ETTE ROBIN AI.I.EN <br /> <br /> OCCBr, 0845933 <br />ChN'iRACIQ!.' L,C~ENSi::: 24-192(; <br />SUPERVISOR LICENSE: 3653S <br /> <br />Fee <br />.......... <br /> 48.80 <br /> 4.58 <br /> .00 <br /> <br /> Assessed fees 94.58 <br /> Adjustments .00 <br /> Total fees 94.50 <br />PAYEE: PAC,~IC COAST ELECTRIC INC ]oral paxments: 94.50 <br /> Balance due : .00 <br /> <br />THIS PERHIT IS NON-TRANSFERABLE AND EXPIRES 188 DAYS FROM ISSUE DATE IF WORK HAS <br />NOT COHHENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 18(~ DAYS. OR IF WORK <br />FALLS TO MEET ALL REQUIREMENTS OF STATE LAWS AND NARION COUNTY ORDINANCES. UPON <br />WRITTEH REQllEST~ ONE SIX MONTH EXTEHSION MAY BE [,RANTED. <br /> <br />SIF,~AI'I,iRE DF APPt[ICANI': ....................................................... <br />))ONDA).)) E WOOI)LEY~ NARION COUNTY BUII.)):[NBG OFFICIAL / BY <br /> <br /> <br />