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MARION COUNTY BUILDING INSPECTION <br />COMMUNII'~ DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE,- Room 132 · Salem, Oregon 97301-3670 <br />Office Hours; 8;00-4:30 * Phone: (503) 588-5147 * 24-HR Inspection Line: (503) 588-7904 <br /> <br /> ELECTF ICAL PERMIT <br />~)ATE/T[t~E = 1~/.~/75 16:2~ PERM?T NO : 95-172~& <br />TYPE : Resident. addition/alterat~o~ sTAT~S :. ISS~E~ <br /> <br />WORK ~)ESC <br />si'rE AD,DRESS <br /> <br />CROSS STREET <br />PARCEl_ N'OMBER <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />: ~. C~R FOR AD1) <br /> <br /> ~.0.~,1 BOOtiES FERRY R~ NE AR <br /> <br /> PHONE : <br /> <br />CONTRACTOR <br />PHONE <br /> <br />ELECTRICIAN <br /> PRONE : <br /> <br />SI, JPV EL. EC : PHONE <br /> <br /> On~t~ Descr [[j~ t::[or~ <br /> 1, S't a~e surcha~'ge <br /> 1 Refsnd <br /> <br />GRIM Ri) <br /> <br />40691 -(400 <br /> <br />CI,.ARK,MARTIN L, & NANCY <br /> <br />CLARK,MARTIN L & NANCY <br />2~52i B00NES , ERRY RD NE <br />AURORA~ O~ <br /> <br />~78-25:[4 <br /> <br />EENOUD ELECTRIC ~I,IC <br />~62-~B2~4 <br /> <br />97002 <br /> <br />C~ <br /> <br />SL <br /> <br />CITY: NARION COUNTY <br /> <br />NTRACTOR L, IC, ENSE: <br /> <br />PERVISOR LICENSE: <br /> <br />................................... ~77'0~ <br /> 1.25 <br /> <br /> fees : 38.85 <br /> : <br /> fees : ~8.85 <br /> <br />PAYEE: CLARE, MARTIIg L & NANCY C Bm : .0~ <br />************************************************************************************* <br /> <br />THIS PERHIT IS NON-TRANSFERABLE AND 188 DAY~ FROH ISSUE DATE IF WORK HAS <br />NOT COHHENCED, OR IF CONSTRUCTION CEASES: A PERIOD OF 180 DAYS. OR IF <br />FALLS TOMEET ALL REQU~REHENTS DF:STATE AND NARION COUNTY ORDINANCES. UPON <br />~RITTEN REQUEST, ONE SIX HONTH EXTENSIONMA¥ DE ~RAHTE~. <br />SIGNATURE OF AF'PLICANT: <br /> <br />DONDALD E WOODLEY, HARIDN COUNTY BUILDIIqB6 OFFICIAL / BY PHUI,!RO <br /> <br /> <br />