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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 Houre: 8:00-4:30 ° Phone: (503} 588-5147 ° 24-HR Inspection Line: (503)588-7904 <br /> <br />~e~T£/TTHF <br /> TYPE <br />OCCUPANCY <br /> <br /> ELECTRICAL PERHIT <br />: ~9/25/96 15.'45 P[RNIT fig : 76-D7615 <br />: Resident. addition/alteration STATUS -- ISSUED <br />= R-3 ISSU[D e ~9/25/1996 <br /> TO EXPIRE : ~3/24/1997 <br /> <br />9~TF ADDRFR$ : CITY: MARION COUNTY <br /> <br />~792 HHI.HQIJIST RD ~E AH <br /> <br />CROSS STRFF'[ : BATFS RP <br /> <br />PARCEl. NIJHBER : 5634&-545 <br /> <br />[~WNFR NAMF <br /> <br />: RO~ANBALM~C. HAMP L & LH[:.Y M <br /> <br />APPI.~CANT <br />NAMF : .IIID$ON~S TNg <br />AgORESS ~ PO BOX 12669 <br /> <br /> SAIFfl OR 97~9 <br /> PHONE <br /> <br />CONIRACTOR : ,lilDSON'9 TNC OCCB: <br /> PHONE : <br /> <br />FIFCTRZCTAN : JIIPSONS TNC CONTRACTOR LICENSE: <br /> PHONE : 34~-4141 <br /> <br />SHPV FI FC = KHHI DONALD W SUPFRWSOR LICENSE: <br />PHONE : KHHL DONALD W <br /> <br />~ ..... ~e'/'f~ed~¥'~ up to'~O amps <br /> <br /> IS~a~e surcharge <br /> Refund <br /> <br />24-18C <br /> <br />1367S <br /> <br />30.0~ <br /> 4.0B <br /> <br /> Assessed fees 84.00 <br /> Ad.~ us~mPnts .08 <br /> To'P.a l fees <br />PAYFF: ,tll~tlH~ S IN(: Total paxMents: 84, <br /> Balance ~ue : <br /> <br />THIS PERHIT IS NON-TRaNSFERaBLE AND EXPIRES 18~ ~YS FROH ISSUE D~TE <br />HOT CO~FNCE~ ~ IF CONSTRUCTION ~EASES FOR ~ PFR[D9 OF <br />F~[I.~ TO HEET ALI. REGO~REHENTS ~ STATE I.A~S AH~ HAR/ON COUHTY <br />~RITTFH RF~IIFST~ ONF SIX HONTH EXTFNSION H~Y ~F ~NTEg. <br /> <br />S[GNATIJR[{ OF APPL'[CANI': <br /> <br />OONOAt.O r{ WOF)OI.EY, MAR[ON COUNTY BIJ[LOINBG r <br /> <br /> <br />