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DATE/TIME 10/21/98 15:17 98-04440 <br />TYPE Resident. addition/alteration CANCEL <br />PAGE 1 <br /> <br />ELECTRICAL PERMIT <br /> PERMIT NO <br /> STATUS <br /> ISSUED <br /> TO EXPIRE <br /> <br />10/21/1998 <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />TAX ACCOUNT <br />APPLICANT <br />ADDRESS <br /> <br />PHONE <br /> <br />CONTRACTOR <br />PHONE <br /> <br />ELECTRICIAN <br />PHONE <br /> <br />SUPV ELEC <br />PHONE <br /> <br /> I 200 AMP--TEMP SERVICE FOR NEW HOUSE <br /> 21128 OAK LN NE AR <br /> <br /> 72040-000 <br /> ENGELMAN ELECTRIC INC <br /> PO 80X 451 <br /> <br /> HUBBARD. OR 97032 <br /> 981-8041 <br /> <br /> ENGELMAN ELECTRIC INC <br /> 981-8041 <br /> <br />: HOLUM MARK D <br />: HOLUM MARK D <br /> <br />LUCAIOR: 041W14A 02400 <br /> CITY: MARION COUNTY <br /> <br />OWNER: CLARK,PENNEY & RANDALL <br />PHONE: <br /> <br /> OCCB: 0094581 <br /> <br />LICENSE: <br />SUPERVISOR LICENSE: 4~7S <br /> <br />Units Description Fee <br />1 Temp serv/feeds up to 200 amps 35.00 <br />i State surcharge 1.75 <br />1 Refund -26.75 <br /> <br />PAYEE: ENGELMAN ELECTRIC INC <br /> <br />Assessed fees <br />Adjustments <br />Total fees <br />Total payments: <br />Balance due : <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUE <br />NOT COMMENCED. OR IF CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, <br /> <br />.00 <br />.08 <br />.00 <br />.00 <br />.00 <br /> <br /> FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY ORDINANCES, UPON <br /> WRI1-FEN REQUEST. ONE SIX MONTH EXTENSION MAY BE GRANTED. <br /> SIGNATURE OF APPLICANT: <br /> <br /> DONALD E WOODLEY. MARION COUNTY BUILDING OFFICIAL / BY KDAHL <br /> CALL BEFORE YOU DIG..,IT'S THE LAW. Orego~ law requires yoa to follow <br /> rules adopted by the Oregon Utility Notification Center. Those rules are set <br /> forth in OAR 952-001-0010 through 952-001-0090, You may obtain copies of the <br /> rules by calling the center, (Note: The telephone number for the Oregon <br /> Utility Notification Center is (503) 222-1987). <br /> <br /> Marion County Building Inspection <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-z~427 <br /> <br /> <br />