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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 152 · Salem, Oregon 97301-3670 <br />Office Houre: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inepectlon Line: (503) 373-4427 <br /> <br /> ELECTRXCAL PERHIT <br />DATE/TZHE : ~6/11/96 1B=29 PERMZT NO : 96-~389~ <br />TYPE : Resident. addition/alteration STATU~ : ISSUED <br />OCCUPANCY : R-3 ISSUEO : ~6/11/1996 <br /> TO EXPIRE = [2/~8/1996 <br /> <br />gORK DESC : FEEDER 4/CIR TO A~ BLDG <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 22105 BOTTEVILLE RD NE AR <br /> <br />CROSS STREET : MCKAY <br /> <br />PARCEL NUMBER : 48388-888 <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADBRESS <br /> <br /> PHONE <br /> <br />CONTRACTOR <br /> PHONE <br /> <br />ELECTRICIAN <br /> PHONE <br /> <br />SI.JPV ELEC <br />PHON~ <br /> <br /> Units <br /> <br /> 4 <br /> ] <br /> 1 <br /> <br />: MALONE, RICHARD A & BEVERLY <br /> <br />MALONE.RICHARD A & BEVERLY A <br />1837 LAKE FRONT ROAD <br />LAKE ORWEGO~ OR <br /> 97834 <br />,,03'"697-96~5 <br /> <br />MAI,ONE.RICHARD A & BEVERLY A <br />583'-697-96~5 <br /> <br />State surcharge <br />R~fund <br /> <br /> OCCB: <br />CONTRACTOR LICENSE: <br />SIJPERVISOR LICENSE: <br /> <br />Fee <br /> <br />8.88 <br />2.98 <br /> <br />NOT CONNENCEI~, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 188 DAYS. OR IF WORK <br />FALLS TO MEET ALL EEQUI~HENTS OF ~TATE LAWS ~D HARION ~OUNTY ORDINANCES. UPOH <br />WRITTEN REQUEST, ONE SIX fl~TH EXTENSION MAY BE GRANTED. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DON~AI~ F W('i0~L[Y~ MAR~ON COUNTY BU~LD1NB~ OFFZCTAL / BY DFREILIN~ <br /> <br /> <br />