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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPME JT 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 LIn$: (503) 373-4427 <br /> <br /> ELECTRICAL PERMIT <br />DATE/TIME : e3/19/97 16:15 PERMIT NO : 96-08697 <br />TYPE : New Residentia! STATUS : ISSUED <br />OCCUPAHCY : R-3 ISSUED : 11/84/1976 <br /> TO EXPIRE : 85/83/1777 <br /> <br />WORK DESC : MM SERV /1/CIR FOR SEPTIC PUMP <br /> <br />SITE ABDRESS : CITY: MARION COUNTY <br /> 10313 MILl. CREEK RD SE AM <br /> <br />CRO.~S STREET : BISHOP <br /> <br />PARCEL NUMBER : 56388-000 <br /> <br />OWNER NAHE : SNIBLEY:NICHOLAS <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />: SHIBLEY,NICH~LAS <br />: 1031~ MILl CREEK RD <br /> AUMS¥ILLE, OR <br /> <br />PHONE : 749-1S77 <br /> <br />CONTRACTOR : AFB ELECTRIC INC <br /> PHONE : 871-144J <br /> <br />EL. ECIR!CIAN : A F B ELECTRIC INC <br /> PHONE : 871-144S <br /> <br />SUPV E_EC <br />PHONE <br /> <br />LINDNOLN BARRY R <br />LINDHOLM BARRY R <br /> <br /> 3CCB. 0085541 <br />CONTRACTOR LICENSE: 24-287C <br />SUPERVISOR LICENSE: S804S <br /> <br />Units I)escr i. ption Fee <br /> <br /> 1 Br~nch circ.iits 2.~ <br /> 1 State surcharge 2. <br /> '[ Refund . <br /> <br /> Assessed fees : 44.10 <br /> AdjustMents : .00 <br /> Total fees : 44.10 <br />PAYEE: SHIBLEY, NICHUI~AS Total payments: 44.10 <br /> Balance due : .00 <br />********************************************************************************** <br /> <br />THIS PERMIT IS HOW-TRANSFERABLE AND EXPIRES 188 DAYS FROM ISSUE DATE IF WORK HAS <br />MOT COMMENCED, OR IF COHSTRUCTIOH CEASES FOR A PERIOD OF 188 DAYS, OR IF WORK <br />FAILS TO MEET ALL REQUIREMENTS OF STATE LA#S AND MARION COUNTY ORDINANCES. UPON <br />WRITTEN REQUEST, ONE SIX MONTH EXTEHSIOH MAY BE GRANTED. <br /> <br />SIGMA'lURE OF APPLICANT: <br />********************************************************************************** <br />DONI)AkD E WOODLEY~ MARION COUNTY BUI[DINBG OFF'ICIAL / BY CLYNCH <br /> <br /> <br />