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ELECTRICAL APPLICATION <br />DATE/TIME : 07/22/99 14:27 ACTIVITY NO <br />I~(PE : Resident. addition/alteration STATUS <br /> APPLIED <br />PAGE : 1 TO EXPIRE <br /> <br />99-05972 <br />APPLIED <br />07/23/1999 <br />01/19/2000 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br />: 4 CIR FOR STORAGE BLDG CONVERTED TO BATHROOM <br /> 130 TUMBLE ST DT <br /> <br />LOCATOR: 105EO1BC04100 <br /> CITY: DETROIT <br /> <br />TAX ACCOUNT : 90222-540 <br /> <br />APPLICANT : USSELMAN,MICHEAL SCOTT <br />ADDRESS : 4046 NE CU[LY BLVD <br /> PORTLAND, OR <br /> 97213 <br />PHONE : <br /> <br />CONTRACTOR : <br /> PHONE : <br /> <br />OWNER: USSELMAN,MICHEAL SCOl~F <br />PHONE: <br /> <br />OCCB: <br /> <br />ELECTRICIAN : LICENSE: <br /> PHONE : <br /> <br />SUPV ELEC : SUPERVISOR LICENSE: <br />PHONE : <br /> <br /> Units Description Fee <br /> 4 Branch circuits 59.00 <br /> i State surcharge 4.13 <br /> 1 Refund .00 <br /> <br /> Assessed fees 63.13 <br /> Adjustments .00 <br /> Total fees 63.13 <br /> PAYEE: USSELMAN.MICHEAL SCOTT Total payments: .00 <br /> Balance due : 63.13 <br /> <br /> THIS IS NOT A PERMIT, IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <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 PMUNRO <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, 503-232-1987, <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 Phone: (503)588-5147 24-hr Inspection Line: (503)373-~27 <br /> <br /> <br />