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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> ~86 Church Street NE · Ro~m 153 · Salem, Oregon 97~01-3670 <br />OfflCl Ho.ri: 8:00-4:30 · Phone: (503) 5M-$147 · 2,4-HR InN~otlon Line: (503) 373-4427 <br /> <br /> ELECTRZCAL PERMIT <br />D~TE/TIHE : ~/~3/96 15=35 PERHIT NO = 96-S39~1 <br />~C~UPN4Cy = Resident. add,finn/alteration STA~S ~ ISSUED <br /> = R-3 ISS~D = 96/B3/1996 <br /> TO ExPZRE ~ 11/3~/1996 <br /> <br />WORK DESC : MD SERVICE (SERV DISCONNECTED & NEW POLE REPLACE~) <br /> <br />SITE ADDRESS : CITY~ MARION COUNTY <br /> ~233 SHAW SQ SE AM <br /> <br />CRDSS STREE] : HY 22,SILV FALLS X,LEFT AT X,2ND SHAW SQ SIGN, RGT-TURN <br /> <br />PARCEl_ NUMBER : 75J0~-240 <br /> <br />OWNER NAME : KATHLEEN AISPURO <br /> <br />APPLICANT <br />NAME : TRUXAL JR WILLIAM E <br />ADDRESS : 565 LESLIE ST SE <br /> <br /> SAI..E~ OR 7730~ <br />PHONE : ,~4--~472 <br /> <br />CONTRACTOR ,: TI(UXAL JR WILLIAM E OCCB: 0893449 <br /> PHONE : :~64-0472 <br /> <br />ELECTRICIAN : PREMIER ELECTRIC <br /> PHONE : ~64-04'72 <br /> <br />CONTRACTOR LICENSE: 24-2 <br /> <br />r SUPV ELEC : TROXAL BILL <br /> PHONE : 'TRI]XAL BILL <br /> <br />SUPERVISOR LICENSE. 4034S <br /> <br />I State surcharge <br />1 Refund <br /> <br />Fee <br /> <br />2.08 <br /> .00 <br /> <br /> Assessed fees 42.88 <br /> Adjustments .~0 <br /> Total fees 42.80 <br />PAYEE: TRUXAL .IR W[LL. IAM E Total paxments~ 42.80 <br /> Balance Uue . .00 <br /> <br />THIS PERHIT IS HON-TRANSFER~DLE /~D EXPIRES 1S~ ~YS FROH I~AIE DATE IF gORK HAS <br />HOT COHHEHCED~ OR IF COHSTRUCTION CEASES FOR A PERIOD OF i~DAYS. OR IF #ORK <br />FAILS TS MEET ALL REOUIREHEHTS OF STATE LAMS AND ~ARIDH COUNTY ORDII~MICES. UPON <br />#RITTEN RE~UEST~ OHE S~X HI)NTH EXTEHS~OH HAY ~E ¢.RAHTED. <br /> <br />SIGNATURE OF APPLICANT: .................................................. <br />********************************************************************************** <br />DONDAL~ E WOOPLEY. MARION COUNTY ROILDINBG OFFICIAL / BY DSTONE <br /> <br /> <br />