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MARION( IJNTY <br /> <br />Office Ho~,-:8.0~..4,~) ~ ~ii~ilt:, (~03) ~-~147 * 24.HR Inq~tlon Une: (503) 373.4427 <br /> <br />D~TE/T[NE = 112/11/98 <br />TYPE : Resident. <br />OCCUPANCY : R-3 <br /> <br /> ELECTRICAL PEI~I T <br /> 15:~3 PERHIT NO : <br /> add i t ion/a lt~er,~i, on S'~ATOS : ]~ <br /> TO'EXPI~. : <br /> P~GE <br /> 1 <br /> <br />SITE ADDRESS : ~ITY: MARION COUNTY <br /> 9294 SHAW SQUARE RD BE AM <br /> <br />TAX AJ~,COUNT'"~ 7451~-09~ <br />OWNER ~L. HAYES GARY <br /> APPLICANT ~ : NORTHSIDE ELECTRIC <br /> ADDRESS : PO BOX 12323 <br /> <br /> PHONE ~-: 585 4879 <br /> <br />CONTRACTOR. m'NORTHSIDE ELECTRIC <br /> PHONE : 585-4879 <br /> <br />~LE~TR[CIAfl : NORTHSIOE ELECTRTC <br /> PHONE : 585-4879 <br /> <br />SHPV~.~C : MARTIN KEVIN SCI~T <br />PHONE .-= MARTIN KEV~N SCOTT <br /> <br /> Un,ts ~escript. io~ . <br /> ! ~ Service/feeders up to2ee~aep's <br /> 3 Branch circuits <br /> ! ~tate surcharge <br /> 1 ~efund <br /> <br />OCCB: <br /> <br />0~80§93 <br /> <br />CONTRACTO~ LICENSE: 24-~4C <br /> <br />SIIPERVTSOR LICEI~E: 43~95 <br /> <br /> Assessed fees ~ 58.8B <br /> AeSusteents : . BO <br /> · .. Total fee~ ~. 58.8~ <br />PAYEE. H~RTHSI]DE. ELECTRIC ~To~al pa~ents: 58.B~ <br /> <br />SIGNATtlRE OF APPLICAHT~ ~.~_ . ~. ~ ~ _,. <br />~O~hAL~ F ~O0~LEY~ ~R~ON COUHTY BU~LD~H~G OFFiCiaL / ~Y CLYHCH <br /> <br /> <br />