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ELEC - 1455725
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Entry Properties
Last modified
2/9/2013 1:50:56 PM
Creation date
7/21/2004 11:10:41 AM
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Template:
Permits
Permit Address
21856 BENTS RD NE
Permit City
Aurora
Permit Number
555-96-05965
Parcel Number
041W09 01100
Permit Type
ELEC
Permit Doc Type
Permit Document
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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-5670 <br />Office Hours: 8:00-4:30 * Phone: (503) 588-5147 * 24-HR Inspection Line: (503) 373-4427 <br /> <br /> ELECTRICAL PERHIT <br />OATE/T[NE : ~8/~6/96 tS=t9 PERH[T NO ~ 76-S5765 <br />TYPE = ComMercial addition/alteration STATUS = ISSUED <br />OCCUPANCY = H-~ ISSUED = B8/S6/1996 <br /> TO EXPIRE <br /> <br />WORK OESC : 1SVC/ 10 CIE FOR SIGN "SH~LL" & POND <br /> <br />SITE ADDRESS : CITY= MARION COUNTY <br /> 21856 BENTS RD NE AR <br /> <br />i;R()SS STRE~I : <br /> <br />PARCEL NOHBER : <br /> <br />]-5 <br /> <br />40~37-00~1 <br /> <br />OWNER NAME : SHELL STATION <br /> <br />APPLICANT <br /> NAME : <br /> Ai)ORESS : <br /> <br />1UALATIN ELECTRIC INC <br />PO BOX 655 <br /> <br /> WILSONVILLE, OR 97078 <br />PHONE : 682-2955 <br /> <br />CON'FRACTOR : TUALATIN ELECTRIC INC <br /> FHf]NE : <br /> <br />Ft. 1- CI'RICtAN <br /> PHONE <br /> <br />!:~1. IF'V EI..EC : <br /> PHONE : <br /> <br /> OCCB: 0065658 <br />CCINTRACTOR LICENSE= <br />SUPERVISOR LICENSE: <br /> <br />~!pits Des~ri[~tion Fee <br /> 1 ..... S~rvice/fmeders up to 200 amps ~.~ <br /> 1~ Branch circ~dts 28,80 <br /> I State surcharge 3.50 <br /> 1 Refu~d .00 <br /> <br /> Assessed 'fees = 73,50 <br /> AdjustMents : .80 <br /> Total fees : 73.50 <br />PAYEE= TUA[ATIN ELECTRIC IN[: Total paxMe~ts: 73~50 <br /> Balance ~ue : .00 <br /> <br />THIS PERHIT IS NON-TRANSFERASLE AND EXPIRES 188 I~YS FROH ISSUE DATE IF #ORE HAS <br />NOT COHHENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF ~S8 ~AYS. OR IF WORE <br />FAILS TO HEET ALL REOUIREHENTS OF STATE LAWS AN9 HARION COUNTY ORDINANCES. UPON <br />~RITTEH REQUEST, ONE SIX HONTH EXTENSION NAY BE GRANTED. ~ <br /> All <br />SIGNATURE OF APPI_I[,~NT= ..................................... ~ .......... <br /> <br />DtlN1)AI.I) E WDODLEY~ ~ARION COLINTY BH~LDIHBG OFFICIAL / BY CLYNCH <br /> <br /> <br />
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