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MARION COUNTY BUILDING iNSPECTiON <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8:80-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 588-7904 <br /> <br /> ELECTRTCAL P~HIT <br /> ~ATE/TIHE : ~9/21/75 16:fj5 PERNIT NO : 95-14122 <br />::.,TYPE : Resident. addition/alteration STATUS : ISSUED <br />OCCUPANCY : R-3 ISSUED = 99/21/I795 <br />~:: TS EXPIRE : 93/19/1976 <br /> <br /> WOrK DESC : SERV-1 NFO <br /> SITE 'ADDRESS : CITY: MARION COUNTY <br /> <br />: CROSS STREET <br /> PAR ,F.'L <br /> <br /> OWNER NAME <br /> APFL~C~NT <br /> <br /> PHONE <br /> <br /> PHONE <br /> PHONE <br /> PHONE <br /> <br /> W. STAYTOH RD <br /> <br /> MONTGOMERY, DILLARD <br /> <br /> MONTGOMERY. NELANiE <br /> ~298 ALBERTA AV NE <br /> SALEM OR <br /> <br /> 585-0?86 <br /> gONTGONERY~'MELANIE <br /> <br /> JACKS ELECTRIC <br /> 749~2971 <br /> <br />,Description <br /> <br /> State =urchar§e <br /> Refund <br /> <br /> OCCB: <br />CONTRACTOR LICENSE: 24-16C <br />SOPERVISOR LICENSE: <br /> <br /> Fee' <br /> <br />--'~-0.00 <br /> 2.00 <br /> .00 <br /> <br /> Asmessed feem 42.08 <br /> Adjustments .05 <br /> Total fees 42.80 <br /> Total pax~ents: 4~.0~ <br />PAYEE: MONTGOMERY. MELANIE Balance due : .00 <br /> <br />THIS PERMIT iS HOM-T~AHSFERABLE AND EX~IRES 18~ D~YS FROM ISSUE ~)ATE IF ~ORK HAS <br />HBTCOHHEHCED. ORIF CONSTRUCTIONiCEASESFOR A P~IOD OF 18e DAYS. OR IF UDRE <br />FAXLSTUHEETALL REOU~REHEflTS OF;STATE LA~ AND HARMON COUNTY ORD[HAHCES. UPON <br />~R~T~HRE~ST~ DHE SIX HDHTH, EX~HS,[ON HAY BE ~AHTEP. <br />~i;HATI.JRE OF APPLICANT: <br /> <br />~ON4[_O E ~O0~I,,,EY~ ~flRION COUNTY ~U~[_DING OFFiC~4L / ~y TNE4L <br /> <br /> <br />