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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 /> ELECTR ]*C.'~L 4PPLTCATZON <br />DATE/TI'ME : ~/25/96 14:].1 ~CTIVTTY NO · 96-~4666 <br /> = Resident. addition/alteration STATUS ~ N~LIED <br />OC~UPAI~Y = R-3 /~PpLTE~ = ~6/25/1996 <br /> TO EXPIRE = 12/22/1996 <br /> <br />WORK DF.qC : NEW PANEL DOXL; 2g-CIR (ADD/BUILD t95-16808) <br /> <br />SITE ADDRESS <br /> <br />CROSS STRFFT <br /> <br />PARCEL NIJMBER <br />OWNER HAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />PHONE <br /> <br />COMTRACTOR <br />PHONE ' <br /> <br /> DONALD RD NE AR CITY: MARION COUNTY <br /> <br />RUTTEVIL. LE RD,H. TO DONAL. D,LEFT ON DONALD,2ND HS ON LEFT <br /> <br />48787-88~ <br />RYAN,FRANCIS X & AUDREY N-TRUST <br /> <br />CLOSNER DOUGLAS D <br />16458 S FOREST gLEN DR <br /> <br />MULZHO, OR 97842 <br /> <br />CLOSN/R DOUGLAS D <br />829-5188 <br /> <br />FLECTRICTAN : <br /> PHONE : <br /> <br /> ELFC : C[OSNER DOUGLAS D <br /> PHOHE : 263-8828 <br /> <br /> Units Bescription <br /> I Service/feeders up to ~BB amps <br /> 28 Branch circuits <br /> I State surcharge <br /> I Refund <br /> <br /> OCCB: 8876274 ~C~ ,'-,, ] <br />SUPERVISOR LICENSE: 3798S <br /> <br />Fee <br /> <br /> 48.88 <br /> 4.58 <br /> <br /> Assessed fees : 94.58 <br /> Adjustments : .80 <br /> Total fees : 94.58 <br />PAYEE: C[OSNER DOUGLAS D Total payments: 94.58 <br /> N Balance d e : .88 <br />********************************************************************************* <br /> B! T¥OF THE ! TO 'II~T <br /> ~Y BE IS~. <br />SIGNATURE OF APPLICANT: ......................................... ~0 <br /> <br />DONALD E. WOODLEY~ HARIOH COUNTY BUILDING OFFICIAL BY DSTOHE ~ <br />................................. FOR OFFICE USF ONLY ........................... <br /> <br /> HAP: ~ONE: PROPERTY LOCATOR~ <br /> PlAN RFV~EW: ~ATE: ZONING REVIEW: DATE: <br /> <br /> <br />