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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: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> ELECTRICAL APPLICATION <br />DATE/TIHE : ~1/31/97 14:47 ACTIVITY NO : 77-~630 <br />TYPE : Commercial addition/alteration STATUS : APPLIED <br />OCCUPN4CY : H APPLIED : ~1/31/1977 <br /> TO EXPIRE : ~7/3~/1997 <br /> <br />WORK ])E~C : ADD/26-CIR TO PREV. ELEC.96-05489 (BLDG 96-822~1) <br /> <br />SITE AD])RESS : <br />CROSS STREET : <br /> <br />PARCEL NUMBER : <br />OWNER NAME : <br /> <br />APPLICANT <br /> NAME : <br /> ADDRESS : <br /> <br />12174 EHLEM RD NE AR CITY: MARION COUNTY <br /> <br />I-5 & EHLEN RD (BIRD-BRAIN/AUTO PARTS & SALES) <br /> <br />48331-477 <br />"BIRD" BRAINS-PARTS/CAR SALES <br /> <br />CANBY ELECTRIC INC <br />790 S IVY ST <br /> <br /> CANBY. OR <br /> PHONE : 266-7878 <br /> <br />CONTRACTOR :CANBY ELECTRIC IRC <br /> PHONE : 266-7878 <br /> <br />ELECTRICIAN :CANBY ELECTRIC INC <br /> PHONE : 266-7878 <br /> <br />SUPV EI.EC : ONION DANIEL D <br />PHONE <br /> <br />Units Description <br />~ 8ranch circu~'~s <br /> 1 State surcharge <br /> ! Refund <br /> <br />97813 <br /> <br />OCCB: 8826871 <br /> <br />CONTRACTOR LICENSE: 3-112C <br />SUPERVISOR LICENSE: 212~S <br /> <br />Fee <br /> 85.00 <br /> 4.25 <br /> <br /> Assessed fees 89.25 <br /> AdjustMents <br /> Tote! fees 89.25 <br />PAYE~': CANBY ELFCTRIC INf; Total pax~ents: 54.68 <br /> Balance due : 34.65 <br /> <br />THIS IS NOT A PERHIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY IHFORH~TIOH IS PROVIDED ~RD FEES PAID BEFORE A PERHIT HAY DE ISSUED. <br /> <br />SIGNATURE OF APPLICANT: <br />*******************************************************************************/ I <br />DONAI_.~ E. WOODLEY~ MARION COUNTY BUILDING OFFICIAL BY DSTONE <br /> <br /> FOR <br /> OFFICE <br /> <br /> MAP: ZONE: PROPERTY LOCATOR: <br /> <br />PLAN REVIEW: DATE: ZONING REVIEW: DATE: <br /> <br /> <br />