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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) 588-6147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br />DATE/TIHE <br />TYPE <br />OCCUPAHCY <br /> <br /> ELECTRICAL APPLICATIOH <br />: 04/18/?? 15=25 <br />: Resident. addition/alteration <br />= U-! <br /> <br />ACTIVITY NO : 97-82555 <br />STATUS : APPLIED <br />APPLIED ~ 84/1S/1777 <br />TO EXPIRE : 18/87/1777 <br /> <br />WORK DESC : FEEDER/4/CIR TO SHOP <br /> <br />SITE ADDRESS : 13501CEDARWOOD RD NE AR <br /> <br />CITY: MARION COUNTY <br /> <br />CROSS STREET : BOONESFERRY <br /> <br />PARCEL NUMBER : 40402-000 <br />OWNER NAME : MEDICA,CARLOS <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />PHONE <br /> <br />MEDICA.CARLOS <br />13501CEDARWOOD RD NE <br />AURORA, OR <br /> 97002 <br />67fl-6257 <br /> <br />C(1NTRACTOR ME,ICA.CARLOS OCCB: <br /> 'PHONE ~ 678-6257 <br /> <br />ELECTRICIAN : <br /> PHONE : <br /> <br />CONTRACTOR LICENSE: <br /> <br />SIJF'V ELEC : <br />PHONE : <br /> <br />SUPERVISOR LICENSE: <br /> <br />Units Description Fee <br />1 Service/feeders up to 200 amps 50.00 <br />4 Branch circuits 8.80 <br />1 State Surcharge 2.90 <br />1 Refund .00 <br /> <br /> Assessed fees : 60.90 <br /> AdjustMents : .00 <br /> Total fees : 60.90 <br />PAYEE: MEDICA, CARLOS Total payments: .00 <br /> Balance due : 60.90 <br /> <br />THIS IS HOT A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL HECESSANY IHFORHATIOH AND FEES PAID BEFORE A PERH~T HAY BE ISSUED. <br />SIGNATURE DF APPLICANT:~ <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL BY MBULL <br /> <br />.................................. FOR OFFICE USE ONLY ........................... <br /> <br />MAP: ZONE: <br /> <br />PROPERTY LOCATOR: <br /> <br />PLAN REVIEW: DATE: ZONING REVIEW: DATE: <br /> <br /> <br />