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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: (503) 373-4427 <br /> <br /> ELECTRICAL PERHIT <br />DATE/TINE .' [16/:1.2/97 13:25 PERHIT NO 97-8437B <br />TYPE : Resident. addition/alteration STATUS ISSUED <br />OCCUPAHCY : R-3 ISSUED 1~6/12/1997 <br /> TO EXPIRE 12/g9/1997 <br /> <br />WORK ])FiSt'; : 1 CIR FOR A/C <br /> <br />SllE ADDRI'-SS : CITY: AUMSVILLE 500 8TH ST AH <br /> <br />CROSS STREE-I : DELMAR <br /> <br />PARCEL NUMBER : 9~01.~-9,~1 <br /> <br />OWNER NAME : KEIZER BLDG & DESI~;N <br /> <br />APPLICANT <br /> NAME <br /> ADDRE. SS <br /> <br />: QUANTUM EI.ECTRICAL CONSTRI u] ION <br />: 1474 35TH AVE NW <br /> <br /> SALEM, OR 97384 <br />PNONE : 362-4'[91 <br /> <br />· 0 TRACTOk : QUANTUM ELECTRICAL CONSTRUCTION OCCB: 0079524 <br /> PNONE : 362-4191 <br /> <br />EI, FCTRiC]AN <br /> PHONE <br /> <br />: QUANTUH EI. EC, TRICAL CONST INC CONTRACTOR LICENSE: 27-42C <br />: ~62-419t <br /> <br />SUPV ELEC <br />PHONE <br /> <br />: GROZA DEAN Al_AN <br />: GROZA DEAN ALAN <br /> <br />SUFERVISOk LICENSE: 2748S <br /> <br />Desc~ ~i~tion Fee <br /> <br /> State surchar§e 1.75 <br /> Refund .00 <br /> <br /> Assessed fees 36.75 <br /> Ad just~ents .00 <br /> Total fees ~6.75 <br />~AYEE. QUANI'UM EI.ECTRICAL CONSIRUCTION Total oay~ents: S&.75 <br /> Ba ].anc~ due : <br />********************************************************************************** <br />THIS PERHIT IS NON-TRANSFERABLE AHD EXPIRES 18~ ~YS FROH ISSUE DATE IF WORK HAS <br />NOT COHHEHCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 188 DAYS. OR IF WORK <br />FALLS TO HEET ALL RE~UIREHEHTS OF STATE LA~S AHD HARIOH COUHTY ORDIHAHCES. UPOH <br />WRITTEH REGUEST, ONE SIX flDHTH EXTEHS[OH HAY BE ~ANTED. <br />SIGNATURE OF APPLICANT: <br />*********************************************************************************** <br />DONDAID E WOODLEY~ HARION COUNTY BUILDINflG OFEICIAL / BY TTONEY~ <br /> <br /> <br />