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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 * Phons: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> ELECTRICAL PERHIT <br />DATE/TIHE : ~9/~/96 13:17 PERHIT NO : 76-i6994 <br />TYPE : Resident. addition/alteration STATUS : ISSUED <br />OCCUPANCY : R-3 [SSUED : 09/B6/1996 <br /> TO EXPZRE = S3/85/1997 <br /> <br />WORK DESC : 1 SEE AND 18 CIR FOR SHOP <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 5991WALINA CT SE AM <br /> <br />CROSS STREET : ORCHARD HTS RD <br />PARCEL NOMBER : 74300-005 <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />: BtJHR, ALVIN& DIANE <br /> <br /> : NORTHSIDE ELECTRIC INC <br /> : PO BOX 12323 <br /> <br /> SALEM, OR 97389 <br /> PHONE : 585-4879 <br /> <br />CONTRACTOR : NORTHSIDE ELECTRIC IHC OCCB: 0088593 <br /> PHONE : 585-4879 <br /> <br />ELECTRICIAN : NORTHSIDE ELECTRIC INC CONTRACTOR LICENSE: 24-14C <br /> PHONE : 585-5723 <br /> <br />SUPV ELEC : DUNN CHARLES H SUPERVISOR LICENSE: 2223S <br />PHONE : DUNN CHARLES H <br /> <br />lh*d ts Description Fee <br />...... I 5ervice/feede~s up to 200 amps ~ <br />18 Br a~'mh circuits 28.88 <br />1 State surcharge 3.50 <br />1 Refund .88 <br /> <br /> Assessed fees : 73.58 <br /> Adjustments : .08 <br /> Total fees : 73.50 <br />PAYEE: NORTHSIDE ELECTRIC INC Total payments: 73.58 <br /> Balance due : .00 <br /> <br />THIS PERHIT IS HOH-TRANSFERA~LE N~D EXPIRES 18~ DAYS FROM ISSUE DATE IF SURK HAS <br />NOT CONHENEED, OR IF C~STRUCTION CEASES FOR A PERIOD OF 188 DAYS. OR IF #ORK <br />FALLS TO SEET ALL REQUIREHEHTS ~F STATE LAUS AHD HARIGN COUNTY ORDINANCES. UPON <br />WRITTEN REQUEST~ ONE SIX I~)HTH EXTENSION HAY BE gRAHTED. <br /> <br />SIGNATURE OF APPLICANT: <br />********************************************************************************** <br />DON AL E WOO LEY, MARION COONTY O IC AL D REILIN P <br /> <br /> <br />