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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr. N.E. · Suite C · Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: <br /> <br /> ELECTRICAL APPLICATION <br />DATE/TIHE -, S6/~4/97 15=21 ACTIVITY HO <br />TYPE = Resident. addition/alteration STATUS <br />OCCUPN~CY : R-3 APPLIED <br /> TO EXPIRE <br /> <br />WORK DESC <br /> <br />S)TE ADBRESS <br /> <br />CROSS STREET <br /> <br />PARCEL NUMBER <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br /> PHONE <br /> <br />CONTRACTOR <br />PHONE <br /> <br />ELECTRICIAN <br /> PHONE <br /> <br />SUPV ELEC <br />PHONE <br /> <br />B6/~4/1997 <br />12/~1/1997 <br /> <br />2 -280AMP SERV, 3 CIR <br /> <br />23598 MEADOW DR NE AR <br /> <br />ARNDT ROA~ <br /> <br />78538-858 <br />CLARK,LORRAINE & ROBERT <br /> <br />BOONES FERRY ELECTRIC INC <br />PO BOX 628 <br /> <br />WILSONVILLE~ OR 97878 <br />682-4936 <br /> <br />BOONES FERRY ELECTRIC <br />682-4936 <br /> <br /> EON COUNTY <br /> <br />LICENSE: <br /> <br /> LICENSE: <br /> : <br /> <br />Units Description Fee <br />- ~ ...... 5ervi~e/teeders up to 28O amps 108.08 <br /> 3 Branch circuits 6.88 <br />1 State surcharge 5.30 <br />I Refund <br /> <br /> Assessed fees : 111.38 <br /> Adjustments : <br /> Total fees : 111.38 <br />PAYEE: BOONES FERRY ELECTRIC INC Total paxments: <br /> Balance ~ue : 111.38 <br /> <br />THIS IS HOT &PERNIT. IT IS THE RESPOHSIBILITY OF THE APPLZC~d4T TO ASSURE THAT <br />~LL NECESSARY II'JFORHATIOH IS PROVIDED AH9 FEES PAID ~EFTiRE A PERMIT NAY BE ISSUED. <br /> <br />SIGNATURE OF APPLICANT; <br /> <br />DONAtDE. WOODLEY, MARION COUNTY BUILBIN~ OFFICIAL BY PBREMER <br />................................. FOR OFFICE USE ONLY ........................... <br /> <br /> MAP: ZONE: PROPERTY LOCATQR: <br /> PLAN REVIEW: DATE: ZONING REVIEW: DATE~ <br /> <br /> <br />