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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 /> ELECTRIC&L PERNIT <br />I)ATEIT[I~ ~ fj7/29196 16s29 PERNIT #0 '. 96"~5719 <br />TYPE z fle~ Co~merciel STI%TUB = ISSUE~ <br />OCCUPMICY ; fl-I ISSUED = 87/29/1996 <br /> TI) EXPIRE ~ 81/25/1997 <br /> <br />WORK I)ESC : SVC & CIR FOR BU 96-4771 <br /> <br />S~rTE APl)RFS$ : CITY: MARION COUNTY <br /> 11798 DONALD RI) NE AR <br /> <br />' 1 <br />(.RI SS STRFF] <br /> <br />PARCEL NUMBER <br /> <br />OWNER NAMF : <br /> <br />APPLICANT <br /> NAME : <br /> AOORESS <br /> <br /> PHONE <br /> <br />CONTRACTOR <br />PHONE <br /> <br />FIFCTRIC~AN <br /> PHONE <br /> <br />8UPV ELEC <br />PHONE <br /> <br />4~727-~0 <br /> <br />WOOI)8~GORDON D & BL. OSSOH A <br /> <br /> ORF~ON ELECTRIC CONSTRI!CTION IN(';, <br />: 4824 NE 42ND <br /> <br />PORTLAND~ OR 972]8 <br /> <br />= ORFGON ELECTRIC CONSTRIICTION ~NC <br /> <br />OCCB: 09092~ <br /> <br />= ORFGON ELECTRIC CONSTRUCTION CONTRACTOR LICENSE= 26-554C <br />= 288-9B3~ <br /> <br />: KRIGBAIIN E W <br /> <br />SUPFRVISOR LICENSE= 29698 <br /> <br /> Units P~,scription Fee <br /> ~erVice/feeders up to ~ a~ps 50.~g <br />~ Branch drcu~ts 2.00 <br />I State surcharge 2.6g <br />1 Refund .90 <br /> <br />Assessed fees : 54.60 <br />AdJustments : <br />Total fees : 54.69 <br />PAYEF~ ORFGON FtFCTR~C CONSTRUCT]'ON ~NC Total payments= 54.60 <br />Balance due : <br /> <br />THIS ~RNIT IS NON-TRANSFERABLE AN~ EXPIRES 1BB ~YS FROfl I~UE ~ATE <br />~T ~H~9, ~ IF ~T~TI~ES F~A P~I09~ 1~ DAY9~ ~ IF ~RK <br />FAILS TO ~T ALL REGUIR~NTS ~ STATE L~ ~9 ~I~ ~Y <br />~ITTEH ~FST, O~ SIX ~ ~TE~I~ HAY ~ ~T~. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />~)ON1)AI/O E Wr)O!)LEY~ HARMON COUNTY BUILD~NBF, OFF'[:~AL / BY CLYNCH <br /> <br /> <br />