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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 />~ATE/TINE = B9/BS/?6 89=58 PERHIT NO = 96-~338 <br />TYPE : Resident. addition/alteration STATUS = ISSUED <br />OCCUPAHCY : R-3 ISSUED : 89/86/1996 <br /> TO EXPIRE : 83/85/1997 <br /> <br />WORK DESC : SERV CHG <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 927~ SHAW SQUARE SE AM <br /> <br />CROSS STREET : HWY 214 <br /> <br />PARCEL NlrJMBER : 75300-260 <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME : <br /> ADDRESS : <br /> <br />PHONE : <br /> <br />CONTRACTOR : <br /> PHONE : <br /> <br />ELECTRi[CIAN : <br /> PHONE : <br /> <br />SIIP¥ ELF, C <br />PHONE <br /> <br />: HERRMANI%DARHALD & EVELYN J <br /> <br />HERRMANN,DARHALD & EVELYN J <br />9254 SHAW SQUARE ROAD <br />AOMSVILLE~ OR <br /> 77~25 <br /> <br />HERRMANN,DARHALD & EVELYN J <br /> <br /> OCCB: <br />CONTRACTOR LICENSE: <br />SUPERVISOR LICENSE: <br /> <br />Units £)escr ip bion Fee <br />----~ .... ,-S~*v:lCe--?l'ee~-~ up ~0 zo~ amps 50.~J~ <br />1 Stete surchaYge 2.58 <br />I Refund .8~ <br /> <br /> Assessed fees : 52.50 <br /> Adjustments : .00 <br /> ¥otal fees : 52.50 <br />p~v:~:. HERRMANN,DARH~I.D & EVELYN J Total PaXMents: ,.~.,.,JO <br /> ~a:[an~e due - <br /> <br />THIS PERMIT IS HOH-TRAHSFERABLE AHD EXPIRES 188 ~YS FROM ISSUE DATE IF WORK HAS <br />N~T COMMENCED, OR IF COHSTRUCTION CEASES FOR A P~IOD OF 188 DAYS, OR IF WORK <br />FAILS TO MEET ALL REQUIRE~EHTS OF STATE LAWS AND MARION COUHTY ORDINANCES. UPOH <br />WRITTEH REQUEST, OHE SIX MOHTH EXTEHSIOH MAY BE ~ANTED. <br /> <br />SIFJ4ATURE OF APPLICANT= <br /> <br />O~)NI)ALb E WOO~LEY,~ HAR[ON COUNTY BUI~,~INBG OFFICIAL / BY HBULL <br /> <br /> <br />