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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 PFJ~MIT <br />DATE/TIME : 12/19/97 15=e2 PERMIT NO : 97-B9953 <br />TYPE : Resident. addition/alteration STATUS : ISSUED <br />OCCUPN'tCY :R-3 ISSUED : 12/19/1997 <br /> TO EXPIRE = 06/17/t998 <br /> PAGE 1 <br /> <br />WORK DEBE ...... T-FD-F?-I-T~O-~MP-&-5-CET~-FOR'-~DDTTIOR-?EOC~TORF-O8292SDOO228S--- <br />SITE ADDRESS : CITY: AUMSVILLE <br /> 785 CHURCH ST AM <br /> <br />TAX ACCOUNT : 90180-328 <br />OWNER : SANTIBANEZ,ED & KARLENE <br />APPLICANT : FRED MANN ELECTRIC <br />ADDRESS : 3665 SUNSET HILLS DR <br /> TURNER <br /> OR 97392-8000 <br />PHONE : 743-2712 <br /> <br />C(1NTRACTOR : FRED MANN ELECTRIC INC OCCB: 626~4 <br /> PHONE : 743-~7l~ <br /> <br />FI~CTRICIA~ : FRED MANN ELECTRIC <br /> PHONE : 743-2712 <br /> <br />CONTRACTOR LICENSE: 24-95C <br /> <br />SIIPV EL. EC : MANN FRED E SUPERVISOR LICENSE: 2221S <br />PHONE : MANN FRED E <br /> <br />Units Description Fee <br />1 Service/feeders up to ~ m~ps <br />5 Branch circuits 10.00 <br />1 State surcharge 3.00 <br />~ R~fund .80 <br /> <br /> Assessed fees : 63.00 <br /> AdjustMents : <br /> Tota[ fe~s : 63.88 <br />PAYEE: FRED MANN ELECTRIC INC Total payments: 63.88 <br /> Balance due : .0~ <br />THIS PERMIT IS HON-TRN~3FERABLE MID EXPIRES IBe D~YS FROM ISSUE DATE IF ~tGRK HAS <br />NOT COHHENCEI)~ I]R IF C~UCT~ ~SES FOR ~ P~IOD OF 188 <br />FAILS TO:~T ~L ~GUi~S ~ STATE L~5 ~ HARXOH CGUHTY ~DIHAHCES. UP~ <br />WRITT[H RE--ST, ~ SIX ~ [X~NSIB HAY BE ~ANTED. <br /> <br />SIGNATURE OF APPLICAflT: <br /> <br />DOflDAI..~ E WOODL. EY, MARION COUNTY BUIIDINBG OFFU, IAL / BY DSTONE ~ /~ <br /> <br /> <br />