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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr. N.E. · Suite C * Salem, Oregon 97305-1398 <br />Office Houm: 8:00-4:30 · Phone: (503) 588-5147, 24-HR Inspection Line: (503) 373-4427 <br /> <br />I)ATE/TIIE · fJ&/~4/97 16=35 ELECTR[CAL PERHIT PER~IT NO ; 97-S2529 <br />TYPE ~ Resident. addition/alteration STATUS =[SSUED <br />OCCUPANCY ; R-3 ZSSUED ; ~6/S4/1997 <br /> TO EXPZRE ; 12/01/1997 <br /> <br />WORK DESC : FEEDER TO SUB AND 4/CIR <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> ?BB1 JORDAN ST SE AM <br /> <br />CROSS STREET <br /> <br />PARCEL NUMBER <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br /> PHONE <br /> <br />CONTRACTOR <br />PHONE <br /> <br />E[rECTRI~IAN <br /> PHONE <br /> <br />SUPV ELEC <br />PHONE <br /> <br />: BARTELS,NENRY <br /> <br />: BARTELS.HENRY <br />: 9801 JORDAN RD SE <br /> AUMSVILLE <br /> OR <br />: 362-3148 <br /> <br />: BARTELS.HENRY <br />: 362-3148 <br /> <br />97325 <br /> <br /> OCCB: <br />CONTRACTOR LICENSE: <br />SUPERVISOR LICENSE: <br /> <br />Units Description Fee <br />1 Service/feeders up to 2~ amps <br />4 Branch circuits <br />i State surcharge 2.?e <br />1 Refund <br /> <br /> Assessed fees = <br /> Adjustments : .00 <br /> Total fees : 60.9~ <br />PAYEE: BARTELS, HENRY Totai payments: 6~.90 <br /> Balance due : .00 <br /> <br />THIS PERNIT IS NON-TRANSFERaBLE ~9 EXPIRES 1B~ D~YS F~ ~ 9ATE IF ~ HAg <br />~ C~, ~ IF ~~ ~ FOR ~ ~IOD ~ <br />~I~E~" ~T ~ REDIRECTS ~ STATE L~ "~I~ ~TY O"INA~ES. ~O" <br /> <br />SIGNATURE OF APPLICANT: <br />::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: <br />~)ONDALD E WOODL£Y, MARION COUNTY BUILDINBG OFFICIAL / BY PMUNRO~,~/ <br /> <br /> <br />