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MARION COUNTY BUILDING INSPECTION <br />COMMUNI'rY DEVELOPMENT CENTER <br /> <br /> 285 Church ~reet 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 PERHIT <br />DATF/TTHE : B?/03/97 ~;04 PE:RHIT HO ; <br />TYPE : Resident. addition/alteration STATUS = ISSUED <br />OCCUPN'4CY = R-~ ISSUED = 82/83/1~97 <br /> TO EXPZRE = ~8/~2/19~ <br /> <br />WORK ~ESC : 4/CIR FGR SHOP <br /> <br />g~TE ADDRFSS : CITY: MARION COUNTY <br /> ~0~0 BOONE~ FERRY RO WE AR <br /> <br />CROSS STREFT : ARNI)T & ENLEN <br />PAR,Et NUMBER : <br /> <br />OWNFR NAMF : SHROCK, MIKE <br /> <br /> APPLICANT <br /> NA~F : SHROCK,MIKF <br /> ADDRESS : 22858 BOONES FERRY RD NE <br /> AHRORA, OR <br /> PHflNF : 67R-2~87 <br /> <br />CONTRACTr)R : SHROCK.MIKE <br /> PHONF : 67R-2~R7 <br /> <br />EI FRTRO;~AN : <br /> PHONE : <br /> <br />~HF'¥ FI.FC <br /> PHONF : <br /> <br />97002 <br /> <br /> OCCB: <br /> <br /> CONTRACTOR LICENSE: <br /> <br /> SUPERVISOR LICENSE: <br /> <br />Units Description <br /> <br /> State surqharge <br /> Ref~Lnd <br /> <br />Fee <br /> <br />41.80 <br /> 2.85 <br /> .00 <br /> <br /> Assessed fees : 43.85 <br /> Adjustments : <br /> Total fees : 43.85 <br />PAYFF: SHR(I.K,MIKE TotAl payp~ents: 4~.05 <br /> Balan~ due - <br /> <br />THIS PERHIT IS HDN-TRAflSFERABLE AND EXPIRES 188 D~YS FROI~ ISSUE DATE IF WORK HAS <br />~T C~D~ ~ IF ~TRUCTI~CEASE5 F~ ~ P~IOD ~ 18~ ~YS.~ IF ~K <br />[B[~ TO_~T ~LL RE~IREH~S ~ ST~TE~S ~ ~I~ ~TY ORDIH~CES. UPOH <br /> <br /> . . . _ .............. ~~ ............ <br /> <br />QONDALD E WQOQLEY, MARION COUNTY BUILQIflBG OFFICIAL / BY HBULL <br /> <br /> <br />