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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 PERHIT <br />DATE/TIME : 84/14/97 13:~7 PERMIT HO : 97-~2612 <br />TYPE : Resident. addition/aIteretion STATUS : ISSUED <br />OCCUPANCY : R-3 ISSUED : B4/14/19~7 <br /> TO EXPIRE : 1~/11/1~7 <br /> <br />WORK DESC : MD SERVICE CHG <br /> <br />SiTE AQDRESS : CITY: MARION COUNTY <br /> 12364 WEST STAY¥ON RD SE ST <br /> <br />CROSS STREET : STAYTON RD SE <br /> <br />PARCEL. NUMBER : 75718-120 <br /> <br />LWNER NAME : THOMPSON, CURTIS D & MONA JO <br /> <br />APP[.ICANI <br /> NAME <br /> ADDRESS <br /> <br />PHONE <br /> <br />'[HOMPSON~CURTIS D & MONA JO <br />12~64 W SrAYTON ROAD <br />AUMSVILLE, OR <br /> 97~25 <br />749-7853 <br /> <br />CONI'RACTOR <br />PHONE <br /> <br />: THOMPSON~CURTIS D & MONA JO <br />: 769-78a~~ <br /> <br />ELECI'RICIAN <br /> PHON~ : <br /> <br />SUF'¥ ELEC : <br /> PHONE : <br /> <br />Units Descri~bion <br />.... ~ ...... -l~ ~e-~.~T~ serviceT'¥e'ed <br />1 State surchar~]e <br />1 Refund <br /> <br /> OCCB: <br />CONTRACTOR LICENSE: <br />SUPERVISOR LICENSE: <br /> <br />Fee <br /> <br />2.80 <br /> .88 <br /> <br /> Assessed fees 42.80 <br /> Adjustments ,~.80 <br /> Total fees 4~..88 <br />PAYEE': THOMPSON~CURTIS D & MONA JO Total p~xMe~'~ts: 42.80 <br /> Balance due : .08 <br /> <br />THIS PERNIT IS NON-TRANSFERABLE AND EXPIRES 188 DAYS FROM ISSUE DATE IF WORK NAS <br />NOT CONHENCED, OR IF CONSTRUCTI(~N CEASES FUR A PERIO~ OF 18B DAYS. OR IF WORK <br />FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND NARION COUNTY ORDINANCES. UPON <br />WRITTE. REQUEST, ONE SIX M~T" EXTE.SION HAY ~RA"TED. <br />SI~NATI,RE OF APPI_ICANT.' ~ <br /> <br />DONDALD E WOODLEY, MARION COUNTY BIJILDINBG OFF'U;IAL / BY MBULL <br /> <br /> <br />