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Marion County Building~Inspection <br /> 555 Court St. N.E., Room 226Q PO Box 1450Q Salem, Oregon 97309-5036 <br /> Office Hours: 8:00-430 Phone: (503)588-5147 ~nspection Line: (503)373-4427 <br /> Check your Permit Status On Line at: http://publicwvorks.co.marion.or.us/building/ <br /> ELECTRICAL PEI~'MIT <br /> DATE: 12-19-2007 TYPE: ELEC PERMIT NO: 07-09522 <br /> OFFICE: MC USE: C STATUS: ISSUED <br /> CONST: MP.P: 139 ISSVED: 12/19/2009 <br /> OCC: SITE: G TO EXPIRE: 06/18/2008 <br /> ZONE: CR <br /> WORR DESC: ADD 14 SA CIR FOR DELI <br /> SITE ADDRESS: 100 LANCASTER DR NE SL <br /> PARCEL: 072W30CC01600 <br /> APPLICANL: A& A ELECTRICAL CONTRACTOAS INC <br /> ADDRESS: 1588 SKY TERRACE SE <br /> SALEM, OR 97306 <br /> PHONE: 503-3917042 <br /> PARCEL OWNER: SMITH,JERALD F& COPELAND,HAAHARla J <br /> ADDRESS: 3~9 RICHMOND ST SE <br /> SALEM OR 97301 <br /> PHONE: <br /> CONTRACTOR: A& A ELECTRICAL CONTRACTORS INC OC B: 01537ll <br /> PHONE: 503-3917092 p <br /> ELECTRICIAN: A&A ELECTRICAL CONTRACTOAS LI ENSE: 36-38C <br /> PHONE: 5033917042 <br /> Si7PV ELEC: SRUDNOK JEFFREY M LI ENSE: 3'1695 <br /> PHONE: 3917042 <br /> SPECSAL ELEC: LI ENSE: <br /> PHONE: <br /> Units DEeCription Fee Units esCYi tion Fee <br /> WiYing Based on Sq ft $0.00 ignal CixCllits/LEP'S $0.00 <br /> Limited Energy $0.0o dditional Inspection Hrs $0.00 <br /> MANF SVC/Feed $0.00 eYtime InSpeCtion HYS $0.00 <br /> Service/Feed 200 amp $0.00 einspection Pee $0.00 <br /> ServiCe/Feed 201-400 amp $0.00 abel Fee $0.00 <br /> ServiCe/Feed 401-600 amp $0.00 astei PeYm1t $0.00 <br /> SezviCe/Feed 601-10~0 $0.00 lan ReView $0.00 <br /> S/F 1001 amps/volts s up $0.00 dditional Plan Aeview $0.00 <br /> AeCOnnect Only $0.00 nvestigatiOn Fee $0.00 <br /> Temp s/f 200 amps $0.00 ther Fee $O.OD <br /> Temp s/f 201-400 amps $0.00 i5C/Copy FEe $0.00 <br /> Temp s/£ 4o1-60D amps $0.0o tate Surcharges $8.48 <br /> Temp s/f 6o1-1000 amps $0.00 efund $0.00 <br /> Temp s/f 100 amp/volt up $o.00 <br /> 14 SYanCh CiYCUits $106.00 <br /> Pump or Irrig Circle $0.00 otal Feea: $114.48 <br /> Sign or Outline Lights $0.00 otal PaymeAte: $114.48 <br /> Additional Circuits $0.00 alance Due: $0.00 <br /> PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUE DAT IF WORR HAS NOT COh41ENCED, OA IF CONSTRUCTION <br /> CEASES FOR A PERIOD OF 180 DAYS, OR IF WORK FAZLS TO MEET ALL EQUIREMENT$ OF STATE LAWS AND MARION COUNPY <br /> ORDINANCES. UPON WAITTEN REQUEST, ONE SZX MONTH EXTENSION MAY E GRANTED. <br /> I am the SUPERVISING ELECTAICIAN. <br /> I am the PROPERTY OWNEA and oWn, YeSidC in, or Will resid in the Completed StruCture and Will be my own <br /> general contractor. I understand that I must regiater as a con truction contractor if the structure is sold or <br /> offered for sale betore or upon completion. If I hire subcontr ctors, I will hire only subcontractors registered <br /> with the Construction Cont ~ctors Hoard. If x change my mind a d do hire a general contractor who is registered <br /> with the Construct'.-a~i~- ractors ard, I will immediately no ify Marion County of the name of the contractor. <br /> SIGNATURE: X <br /> i <br /> WAitREN~JACKSON,MARiONCOUNTYBUILDIN OFFICIAL!BYMGWINU? <br /> CALL BEFORE YOV D1G.. IT'S HE LAW. <br /> <br /> ATTENTION~. Oregon lew requires you to follow ruies edop~ed by the Oregon U[ility Notifiwtion Cencer. Thaee rvke are t fath byOregon A4minisnative AWea. You mey obidn copies of thc rvlcs by celling tM1e center. <br /> (Notc. The idephonc number for thc Oregon Uiillty Notifcetion Crn4r is I-800.D2-b44). <br /> II <br /> <br />