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MARION COUN'rY BUILDING INSPECTION <br />COMMUNITY 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 /> ELECTRICAL PERMIT <br />D~TE/TIHE il/2e/75 10--4B PERPiIT NO : 95-17948 <br />TYPE Commercial addi~ion/al~eratiom STATUS ~ ISSUED <br /> <br /> 14668 EASEL CT NE A~ <br /> <br />"CROSS S. rl Ir. Lf : A:I:RPOR'F <br /> <br />PARI]EL. NUHBER : ?O:l, 77-01J. <br /> <br />OWNER NAME: : E(~,i,.I./JEFF <br /> <br />APPLICAMT <br /> NAME <br /> AD~)RESS <br /> <br /> PHONE', <br /> <br />(,;OI'ITRACTOR <br />PHONE <br /> <br /> PFC/]NE <br /> <br />: ,.IACOB!~I:'N RYAM <br />: 24190 PEACH <br /> <br /> CANBY, OR <br /> <br /> JACOBSEN RYAM <br /> <br />UTdts I)esc)~rt:ion . <br />--']7 ....................... ~T,i]'n;,f:l:%~fi:~J'[f~ <br />]. State surcharge <br />1 Refund <br /> <br />9701J: <br /> <br />OC[,B,, 00969~2 <br /> <br />CON't'RA[:'roR L.[CENBE,, <br /> <br /> i: <br />~UPERV:[f]OR L, ICEhlSE:~ <br /> <br /> As!,-:essed 'Fees : 42. ~0 <br /> Ad justmen'~.s : ,~. 00 <br /> To"~a 1 fees : <br /> . Total [h~Xmell[ ~. 4.... <br />PAll:E, JACOBSEN RYAI4 Ball, nee ~ue <br />******************************************************************************************************** <br /> <br />HOT COHHENCES, OR IF COHSTRUCTIOH: CEASES =FOR A P~IQB OF 18B ~AY~ OR [F WORK <br />FALLS .TO NEET ALL REQUIREMENTS OF STATE L'AWS AND MARION COUNTY ORDINANCES. UPON <br />W~ITT/H REQUEST, OHE ~IX ~OHTH EXTEHS[OH ~flAY BE ~AflTE~. <br /> <br />SI~NA1URE OF' APPLZCANT= ................................. ~ <br /> <br />])ON))AL.Z) E WOO~)LEY, MARION COUNTY BUILDZNB(; OFF]:C:I:AL, / [4Y MBULr,,. <br /> <br /> <br />