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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOF ENT CENTER <br /> <br /> 285 Church 8tr~ NE · I:l¢~m 132 · ~alem, Oflg4.l 97301-3~70 <br />Off~e Houre: 8:00-4:30 * Phone: (503) r~8-5147 · 24-HR kl~lon Une: (503) 373-4427 <br /> <br /> ELECTRICAL PE]~flIT <br />DATE/lillE : 12/23/96 14121 PERHIT H0 96~~62~ <br />TYPE I Resident. addition~alteration STATUS ISLED <br />0CCUP~Y t R-3 I~ 12/23/1~6 <br /> TO EXPIRE ~6/21/1997 <br /> <br />WORK ;)~SC : I~GRAOE SERV 4~-AMP/PAN. BOX t&-CIR (HOVE BOX 4') <br /> <br />STT~ A~DRESS : CITY: MARION COUNTY <br /> 11844 EEIOEN DR SE ST <br /> <br />CROSS STRFFT : <br />PARCEt. NUMBER : <br /> <br />OWNER NAMF : <br /> <br />AF'PL[CANT <br /> <br /> AOI)RF ~S <br /> <br />PHON[' <br /> <br />WEST SI'AYION & BELDEN <br />61596-008 <br /> <br />LINGENFELTER,ROY'L. <br /> <br />LINGENF~tTER,ROY L. <br />11844 8KLOEN DR SE · <br />STAYTDN <br />OR <br />749-]757 <br /> <br />CONTRACFOR ~ LINGENFELTER,ROY L. <br /> PHONE : 769-~257 <br /> <br />KIFC1R~CIAN : <br /> PHONE : <br /> <br />f. IJF'V F' F'C : <br /> PHONE : <br /> <br />97~8~ <br /> <br /> OCCB: <br /> <br /> CONI'RACTOR LICENSE: <br /> <br /> ~IIPERVISOR LICENSE: <br /> <br />Units Oes~: r'i. ot ion <br />---I .... '.' 'S~'w~-e I~eders, '~]-4~t~ amps <br /> 16 ' er~ch circuits <br /> I State sur(-h~rg~ <br /> <br />32.00 <br />4.60 <br />.00 <br /> <br /> As~psq~d fees : 96.68 <br /> Ad j ustm~,nts : . OB <br /> Tot,~) f~ms : 96.60 <br />PAYFiE: I..INr~EHFEI_T~R, ROY I .... Total r~azmen~s: 96.6~ <br /> - Ratam:~ due : .80 <br /> <br />~I$ ~IT I8 ~-IR~E~[ ~ ~PIRES 18B ~YS FR~ ISS~ ~IE IF ~RK <br />HOT Cffi~D, OR IF C~I~lI~ ~ES FOR A ~IOD OF 185 DgYh OR IF ~ <br />FAILS TO H~T ALL REOUIRE~I9 OF SIgTE L~$ ~H~ ~RI~ ~HIY ORDIM~CES. :~OH <br />ORITI[N ~51, ~ SIX ,H~H KXIENSIOH H~Y ~ ~HTED. <br />$IGNgTURE OF gPPLICgNT: _._' ............................................. ~_ <br /> <br />OnNDnl P F WOODLEY, M~ION COUNTY BUII. D]NB¢ OFFICIAL/ BY DSION~ <br /> <br /> <br />