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DATE: 02-13-2003 OFFICE: DT UGB: DT CONST: OCC: R-3 Marion County Building Inspection 555 Court St. N.E., Room 2260, PO Box 14500 Salem, Oregon 97309-5036 Office Hours: 8:00-4:30 Phone: (503)588-5147 Inspection Line: (503)373-4427 ELECTRICAL PERMIT TYPE: NCOM ACTIVITY NO: USE: C STATUS: MAP: ISSUED: ZONE: RS TO EXPIRE: SITE: 96-00208 CANCEL 07/08/1996 WORK DESC: SITE ADDRESS: PARCEL: APPLICANT: ADDRESS: PHONE: PARCEL OWNER: ADDRESS: PHONE: CONTRACTOR: PHONE: ELECTRICIAN: PHONE: SUPV ELEC: PHONE: LABELS: SERV CUMMUNICATION TRAILOR 110 N PATTON RD DT 105E01BC19000 CRAWFORD WILLIAM T PO BOX 645 STAYTON, OR 97383 769-9431 NORTH SANTIAM COMMUNICATIONS CRAWFORD WILLIAM 769-9431 ?? OCCB: 0058969 FAX: LICENSE: LICENSE: Units Description Fee Units wiring Based on sq ft $0.00 Limited Energy $0.00 MANF SVC/Feed $0.00 Service/Feed 200 amp $0.00 Service/Feed 201-400 amp $0.00 Service/Feed 401-600 amp $0.00 Service/Feed 601-1000 $0.00 S/F 1001 amps/volts & up $0.00 Reconnect Only $0.00 Temp s/f 200 amps $0.00 Temp s/f 201-400 amps $0.00 Temp s/f 401-600 amps $0.00 Temp s/f 601-1000 amps $0.00 Temp s/f 100 amp/volt up $0.00 Branch Circuits $0.00 Pump or Irrig Circle $0.00 Sign or Outline Lights $0.00 0 Additional Circuits Description Fee Signal Circuits/LEP's $0.00 Additional Inspection Hrs $0.00 Overtime Inspection Hrs $0.00 Reinspection Fee $0.00 Label Fee ?? Master Permit $0.00 Plan Review $0.00 Additional Plan Review ?? Investigation Fee $0.00 Other Fee $0.00 Misc/Copy Fee ?? State Surcharges $0.00 Refund $0.00 Total Fees: $0.00 Total Payments: $0.00 Balance Due: $0.00 ?? PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUE DATE IF WORK HAS NOT COMMENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF WORK FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY ORDINANCES. UPON WRITTEN REQUEST, ONE SIX MONTH EXTENSION MAY BE GR3LNTED. [ ] I am the SUPERVISING ELECTRICIAN. [ ] I am the PROPERTY OWNER and own, reside in, or will reside in the completed structure and will be my own general contractor. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and do hire a general contractor who is registered with the Construction Contractors Board, I will immediately notify Marion County of the name of the contractor. SIGNATURE: X DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY MBULL CALL BEFORE YOU DIG...IT'S THE LAW. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth by Oregon Adm/nistrative Rules. You may obtain copies of the rules by calling the center. (Note: The telephone number for the Oregon Utility Notification Center is 1-800-332-2344).