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DATE/TIME <br />TYPE <br /> <br />PAGE <br /> <br />09/15/98 16:52 <br />New Commercial <br /> <br /> 1 <br /> <br />ELECTRICAL APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> APPLIED <br /> TO EXPIRE <br /> <br />98-07893 <br />APPLIED <br />09/14/1998 <br />03/13/1999 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br />14 CKS FOR TENANT IMPROVEMENT <br /> 23055 AIRPORT RD NE AR Un: 9 <br /> <br />LOCATOR: 041WO2~A 00600 <br /> CITY: MARION COUNTY <br /> <br />TAX ACCOUNT 40169-000 <br /> <br />APPLICANT <br />ADDRESS <br /> <br />PHONE <br /> <br />CLUB NINETY-ONE OWNER: <br />22055 AIRPORT RD NE j~9 PHONE: <br />AURORA <br />OR 97002 <br /> <br />CONTRACTOR <br />PHONE <br /> <br />ELECTRICIAN <br />PHONE <br /> <br />CLUB NINETY-ONE <br /> <br /> OCCB: <br /> <br /> LICENSE: <br />SUPERVISOR LICENSE: <br /> <br />SUPV ELEC <br />PHONE <br />:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: <br /> Units Description Fee <br /> 14 Branch circuits 61.00 <br /> 1 State surcharge 2.05 <br /> 1 Refund .OD <br /> 20.2 20.202.02D.20 <br /> <br /> Assessed fees 64.05 <br /> Adjustments .00 <br /> Total fees 64.05 <br />PAYEE: CLUB NINETY-ONE Total payments: 64.05 <br />YAKITY YAKS INC Balance due : .00 <br /> <br />THIS IS NOT A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE ll~AT <br />ALL NECESSARY INFORMATION IS PROVIDED AND FEES PAID BEFORE A PERMIT MAY BE ISSUED, <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONALD E. WOODLEY. MARION COUNTY BUILDING OFFICIAL BY JSKYBERG <br /> <br />CALL BEFORE YOU DIG..,IT'S THE LAW, Oregon law requires you to follow the rules adopted by <br />the Oregon Utility Notification Center. 502-232-1987. <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 Pt~ne: (503)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />