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ELEC - 1482194
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ELEC - 1482194
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Last modified
10/14/2010 3:22:45 PM
Creation date
9/2/2004 12:55:34 PM
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Permits
Permit Address
11054 MILL CREEK RD SE
Permit City
Aumsville
Permit Number
555-97-08286
Parcel Number
081W32D 00800
Permit Type
ELEC
Permit Doc Type
Permit Document
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DATE: <br />OFFICE: <br />UGB: <br />CONST: <br />OCC: <br /> <br />R-3 <br /> <br />Marion County Building Inspection <br />555 Court St. N.E., Room 2260, PO Box 14500 Salem, Oregon 97309-5036 <br />Office Hours: 8:004:30 Phone: (503)588-5147 Inspection Line: (503)3734427 <br /> <br />ELECTRICAL PERMIT <br /> <br />TYPE: ARES <br />USE: R <br />MAP: <br />ZONE: EF~ <br />SITE: FD <br /> <br />ACTIVITY NO: 97-08286 <br />STATUS: FINAL <br />ISSUED: 10/17/1997 <br />TO EXPIRE: 04/15/1998 <br /> <br />WORK DESC: <br /> <br />SITE ADDRESS: <br />PARCEL: <br /> <br />APPLICANT: <br /> ADDRESS: <br /> <br /> PHONE: <br /> <br />PARCEL OWNER: <br /> ADDRESS: <br /> <br /> PHONE: <br /> <br />CONTP~ACTOR: <br /> PHONE: <br /> <br />ELECTRICIAN: <br /> PHONE: <br /> <br />SUPV ELEC: <br />PHONE: <br /> <br />LABELS: <br /> <br />OVERHEAD LINE 200 AMP SERV <br /> <br />11054 SE MILL CREEK RD AM <br />081W32D 00800 <br /> <br />CRAWFORD WILLIAM T <br />PO BOX 645 <br /> STAYTON, OR 97383 <br /> 769-9431 <br /> <br />PAYNE,AUDREY <br />11054 MILL CREEK RD SE <br />AUMSVILLE, OR 97325 <br /> <br />CRAWFORD WILLIAM T <br />769-9431 <br /> <br />WILLIAM CRAWFORD CONTROLS <br />897-2319 <br /> <br />CRAWFORD WILLIAM TRUMAN <br />?? <br /> <br />FAX: <br /> <br />OCCB: 0058969 <br />LICENSE: 24-147C <br />LICENSE: 2720S <br /> <br />Units <br /> <br />Description Fee <br /> <br />Wiring Based on sq ft $0.00 <br />Limited Energy <br />MANF SVC/Feed $0.00 <br />Service/Feed 200 amp $50.00 <br />Service/Feed 201-400 amp $0.00 <br />Service/Feed 401-600 amp $0.00 <br />Service/Feed 601-1000 $0.00 <br />S/F 1001 amps/volts & up $0.00 <br />Reconnect Only $0.00 <br />Temp s/f 200 amps $0.00 <br />Temp s/f 201-400 amps $0.00 <br />Temp s/f 401-600 amps $0.00 <br />Temp s/f 601-1000 amps $0.00 <br />Temp s/f 100 amp/volt up $0.00 <br />Branch Circuits $0.00 <br />Pump or Irrig Circle $0.00 <br />Sign or Outline Lights $0.00 <br />0 Additional Circuits ?? <br /> <br />Units Description <br /> Signal Circuits/LEP's <br /> Additional Inspection Hfs <br /> Overtime Inspection Nrs <br /> Reinspection Fee <br /> Label Fee <br /> Master Permit <br /> Plan Review <br /> Additional Plan Review <br /> Investigation Fee <br /> Other Fee <br /> Misc/Copy Fee <br /> State Surcharges <br /> Refund <br /> <br /> Total Fees: <br /> Total Payments: <br /> Balance Due: <br /> <br />Fee <br /> $0.00 <br /> $0.00 <br /> $0.00 <br /> $0.00 <br />?? <br /> $0.00 <br /> $0.00 <br />?? <br /> $0.00 <br /> $0.00 <br />?? <br /> $2.50 <br /> $0.00 <br /> <br />$52.50 <br />$52.50 <br /> $0.00 <br /> <br />PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUE DATE IF WORK HAS NOT COMMENCED, OR IF CONSTRUCTION <br />CEASES FOR A PERIOD OF 180 DAYS, OR IF WORK FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY <br />ORDINANCES. UPON WRITTEN REQUEST, ONE SIX MONTH EXTENSION MAY BE GRANTED. <br /> <br />[ ] I am the SUPERVISING ELECTRICIAN. <br />[ ] I am the PROPERTY OWNER and own, reside in, or will reside in the completed structure and will be my own <br />general contractor. I understand that I must register as a construction contractor if the structure is sold or <br />offered for sale before or upon completion. If I hire subcontractors, I will hire only subcontractors registered <br />with the Construction Contractors Board. If I change my mind and do hire a general contractor who is registered <br />with the Construction Contractors Board, I will immediately notify Marion County of the name of the contractor. <br /> <br />SIGNATURE: X <br /> <br /> <br />
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