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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 /> ELECTRICAL PERMIT <br />D~TE/TIHE -' 96/25/96 16~28 PERMIT NO s 96-~4666 <br />TYPE : Resident. addition/a)teration STATUS s [SEUED ~/ <br />OCCUPANCY : R-3 TSSUED : 96/25/1~96 <br /> TI) EXPTRE ~ 12/22/1996 <br /> <br /> D£SC : NEW PANEL BOX; 20-CIR (ADD/BUILD #?5-16898) <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 1~098 DONALD RD NE AR <br /> <br />CROSS STREET <br /> <br />:PARCFL NUMRER <br /> <br />OWNER NAME <br /> <br />: BUTTEVII.LE RD, N. TO DONALD, LEFT ON DONALD,2HD NS ON LEFT <br /> <br />: 49787-999 <br /> <br />: RYAN,FRANCIS X & AUDREY M-TRUST <br /> <br />APPLICANT <br />HAME = CLOSHER DOUGLAS D <br />ADDRESS : 16459 S FOREST GLEN DR <br /> <br /> MULINO~ OR 97942 <br /> PHONF : 829-5199 <br /> <br />CONTRACTOR = CLOSNER DOUGL. A9 D OCCS: 9976274 <br /> PNONF : 829-5]09 <br /> <br />ELECTRICIAN : DOUGLAS ELECTRICAL CONTRACTOR LICENSE: 3-396C <br /> PNONF : 829-519~ <br /> <br />SUPV ELEC : CLOSHER DOUGLAS D SUPERVISOR LICENSE: 3790S <br />PHONE : CLOSNFR DOUGLAS D <br /> <br />tJnits Description Fee <br />1 5ervice/~eeders up to 298 anps §0. B0 <br />29 Branch circuits 49.99 <br />I State surcharge 4.59 <br />I Refund <br /> <br /> Assessed fees : 94.59 <br /> AdJustments <br /> Total fees : 94.59 <br />PAYEE: CLOSNER DOUGLAS D Total paxments: 94.59 <br />MORRIS,TONY Balance ~ue : <br /> <br />11~I, PERIIIT ZS NON-TUNIlFERAlii. E AND EXPTRES 1. II~Y, FRI~ I~UE I)~TE IF WORK HA' <br /> <br /> ~ K~R~ON COUNTY ORDINANCES. UPON <br />IJRITTEN REOUEST~ ONE 5IX HONTH EXT£NSION NAY ~ GRANTED. <br />SIGNATURE OF APPLICANT: <br />::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: <br />DONDA[D £ WOODLEY~ MARION COUNTY BUILDINBG oFFIcIAL / DY DSTON~ <br /> <br /> <br />