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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaater Dr. N.E. · Suite C · Salem, Oregon 97305-1398 <br />Office Hour~: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br />DATE/TIltE <br />TYPE <br />OCCUPAHCY <br /> <br /> ELECTRICAL PERHIT <br />E5/12/97 12:13 <br />Resident. addition/alteration <br />U-] <br /> <br />STATUS <br />ISSUED <br />TO EXPIRE <br /> <br />97-82555 <br />ISSUED <br />85/12/1997 <br />11/88/1997 <br /> <br />WORK DESC : FEEDER/4/CIR TO SHOP <br /> <br />s~'rE ADDRESS : <br /> <br />CITY: MARION COUNTY <br /> <br />13501CEDARWOOD kD NE AR <br /> <br />CROSS STREET : BOONESFERRY <br /> <br />PARCEL, flttMBER : 40402-BBB <br /> <br />OWNER NAME : MEDICA,CARLOS <br /> <br />APPLICANT <br />NAME : HEDICA,CARLOS <br />ADDRESS : 13581CEDARWO0~ RD NE <br /> AURORA, OR <br /> <br /> PHONE : 678-6257 <br /> <br />CONTRACTOR NEDICA.CARLOS PHONE ~ 678-6257 <br />ELECTRTCIAN <br /> PHONE : <br /> <br />~"~n[~~:C:-' <br /> <br />97~e2 <br /> <br /> OCCB: <br /> <br /> CONTRACTOR LICENSE: <br /> <br /> SUPERVISOR LICENSE: <br /> <br />Units Descri~tioq Fee <br />- Servlce/?eeders up to ZBB amps "5~L'~0 <br /> 4 Branch circuits B.08 <br /> ]. State surcharge 2.98 <br /> 1 Refund .~0 <br /> <br /> Assessed fees : 60.90 <br /> Adjustments : .00 <br /> To~al fees : 68.?8 <br />PAYEE: flEDICA,CARLOS Total oazments: 68.98 <br /> Baiancb ~ue : .~ <br /> <br />THIS PER~IT IS HOH-TR~N~FERABLE ~D EXPIRES 188 ~ F~ I~UE 9~TE IF ~ORK HAS <br /> <br />F~I S~TO~ET LLI~TLCOHHEHCED'AORRE~UI'REIE]~TS OF' I; g~ISlltUCIION CEA~S FOR A lal~IO~ OF 185 DAYS. OR IF iJORK <br /> STATE LNJS AND I~RI'OH COIJHTY ORDIHN,ICES. UPOH <br /> <br />MRITTEN REQUEST, ONE SIX I~HTH EXTENSIOH HAY BE GRANTED. <br />SIGNATURE OF APPLICANT: ............................................ <br /> <br />~ONDALD E WOODLEY, MARION COUNTY BUILDINBG OFFICIAL / BY PMUNRO~I' / <br /> <br /> <br />