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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 /> ELECTRZCAL APPLICATIOH <br />DATE/TTHE ~ B1/24/?? 12=30 ACTIV[TY ~ ~ 97-B~473 <br />TYPE : New Residential STATUS :APPLIEB <br />OCCUPAHCY : R-3 ~PPLIED : 81/24/1997 <br /> TO EXPIRE = 87/23/1997 <br /> <br />WORK OESC : M~ SERVICE <br /> <br />S]FTE APBRESS <br />CROSS STREET <br /> <br />PARCEL, NUMBER <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> A~DRESS <br /> <br />PHONE <br /> <br />CI~NTRACTOR <br />PHONE <br /> <br />I [ F[,TRILIAN <br /> PHONE <br /> <br />2~051SCHULTZ RD NE AR <br />FARGO <br /> <br />40226-880 <br />MOORE,ROBERT J A <br /> <br />NOORE~ROBERT J A <br />23851SCHUL.TZ RD NE <br />AURORA <br />OR <br />478-1~56 <br /> <br />97002 <br /> <br />MCMINNVII..LE FACTORY HOMES INC <br />472-4148 <br /> <br />CITY: MARION COUNTY <br /> <br />OCCB: 0820799 <br /> <br />CONTRACTOR LICENSE: <br /> <br />!~[IPV EL. EC : SUPERVISOR LICENSE: <br /> PNONF <br /> <br /> [J~!~ ts I)escr ~ ption Fee <br /> 1 Manf dwe'[li~g ~ervice/feed <br /> ~ St'~te surcharge 2.8~ <br /> 1 Refund .88 <br /> <br /> Assessed fees : 42.00 <br /> Adjustments : .00 <br /> Total fees : 42.88 <br />PAYEE: NOORE,ROBERT J A Total paxMents: 42.80 <br /> Ba ] a~¢:e due : .00 <br /> <br />THIS IS NOT A PERHIT. IT IS THE RESPONSIBILITY ~ THE ~PLI~NT TO ASSURE THAT <br />ALL NECESSARY IHFQRHAT[O. ~ PROV,BEB~HD FE£S PAID DEFOE A PERHIT ,Ay <br />SIGNATIIRE OF APPLICANT: __~~_.~_ ............... BE ISSUED. <br /> <br />OONAI~ E. WOODLEY~ NAR~ON COUNTY BUIkDING OFFICIAL BY MBULL <br />.................................. FOR OF'FICE USE ONLY .............................. <br /> <br /> NAP: 70NF: PROPERTYLOCATOR: <br /> PLAN REVIEW: DATE: ZONING REVIEW: DATE: <br /> <br /> <br />