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MARION COUNTY BULLDOG INSPECTION <br />COMB UN TY DEVELOPMENT CENTER <br /> <br /> 28~ Church Street NE * Room 132 * Salem, Oregon 97301~70 <br />Office Hours: 8:00.4:30 · Phone: (S03) 588-5147 * 24-HR Inspection Line: (503) $73.4427 <br /> <br /> ELECTRICAL PERHIT <br />BATE/TIHE : 83/11/97 12:83 PER~IT H0 : 97-81873 <br />TYPE : R~ident. addition/atteratiOn STAT~ : I~U~ <br />~Y = U-1 l~ = ~2/1871997 <br /> ~ E~ = ~8/17/1~97 <br /> <br />WORK DESC : ADD/UNDERGROUND CONDUIT <2B~-AMPS/B-CIRS- 97-B8428 <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 7475 SHERMAN RD SE AM <br /> <br />CROSS STREET : JUST NORTH OF DITTER RD-1ST DRIVE WAY TO LEFT (ORANGE CARD) <br />PARCEL NUMBER : §6256-080 <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADORESS <br /> <br />PHONE <br /> <br />: SHETLER~MARVIN R & SHIRLEY <br /> <br />SHEI*LER.MARVIN R & SHIRLEY A <br />PO BOX 489 <br />AUMSVILLE, OR <br /> 97325 <br />749-1988 <br /> <br />CONTRACTOR : BLAZER INDUSTRIES INC OCCB: <br /> PHONE : 749-1988 <br /> <br />ELECFRICIAN : BLAZER [NDUSI*RIES INC <br /> PHONE : 873-3631 <br /> <br />SIJPV EI.EC <br />PHONE <br /> <br />CONTRACTOR LICENSE: <br /> <br />JONES LARRY L. <br />JONES LARRY L <br /> <br />SUPERVISOR LICENSE: <br /> <br />8858186 <br />24-197C <br /> <br />IJniks Description Fee <br />-1 Service/feeders up to ~ amps bU.~ <br />8 Branch circuits 16.88 <br />I State surcharge 3.38 <br />I Refund .88 <br /> <br /> Assessed fees : 69.38 <br /> AdjustMents : <br /> Total fees : 69.38 <br />PAYEE: SHETLER,MARVIN R & SHIRLEY A ~o~ml paxMe~ts: 69.38 <br /> ~aiance ~ue · <br />~ - <br /> <br />THIS PERIIIT IS NON-TRANSFERABLE Nil) EXPIRES 188 DaYS FRI~ ISSUE ~TE IF WORK HAS <br />NOT COHMENCEB, OR IF CONSTRUCTION CEASE9 FOR: A PERIOD OF 18~ BAYS. OR IF WORK <br />#RITTEN REQUEST, DHE SIX HONTH EXTEHSIOtl HAY <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />~ONT~A~D E WOODLEY, MARION COUNTY BUILDINBG OFFICIAL / BY PMUNROJP~/; <br /> <br /> <br />