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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 PE~NIT <br />_~__TE~/TII~E I E7/IJl/96 17;~4 PERItIT HO = 96-B4881 <br /> : Hew Residential STI~TUE = ISSUED <br />I)CCUP/~ICY ~ R-3 ISSUED -- B7/~1/1996 <br /> TO EXPIRE -- 12/28/1996 <br /> <br />NORK DESC = CHG HFG SVC <br /> <br />SITE Al)DRESS : CITY: AURORA 20808 HIGHWAY ??E NE AR <br /> <br />CROSS STREET : OTTAWAY <br /> <br />PARCEL NUMBER : 9~190-B80 <br /> <br />OWNER NAME : POOL, JERRY E & RACHEL <br />AP~ANT : POOL, JERRY <br /> <br /> PHONE : 678-5407 <br /> <br />CONTRACT~)R POOL, JERRY <br />PHONE ~ 678-5407 <br />ELECTRICIAN PHONE <br /> <br />SUPV EL~C : PHONE <br /> <br />97~2 <br /> <br /> OCC~: <br /> <br /> CONTRACTOR LICENSE: <br /> <br /> SUPERVISOR LICENSE: <br /> <br />Units Description Fee <br /> <br /> 1 State surcharge <br /> ] Refund .0~ <br /> <br /> Assessed fees 42.00 <br /> Adjustments .00 <br /> Total fees 42.00 <br />PAYEE: POOL~ JERRY Total payments: 42.00 <br /> Balance due . .0~ <br /> <br /> ~ ~S ~ ;ATE L~9 ~D ~I~ C~NTY 0~I~S. ~ <br />SIGNATURE OF APPLICANT: <br /> <br />DOHDALD E WOBDL. EY~ MARION COUNTY ~UILDIN~G OFFICIAL / ~y CLYNCH <br /> <br /> <br />