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Marion County Building Inspection <br />555 Court St. N.E., Room 2260, PO Box 14500 Salem, Oregon 97309~5036 <br />Office Hours: 8:004:30 Phone: (503)588-5147 . Inspection Line: (503)373-4427 <br /> <br />ELECTRICAL PERMIT <br /> <br />DATE: 01-08 2003,~ TYPE: ACOM ACTIVITY NO: <br />OFFICE: AR /] , ~ USE: C STATUS: <br /> <br />97-0113% <br />EXPIRED <br />02/20/1997 <br />08/19/1997 <br /> <br />WORK DESC: 281-400 AMP SERVICE <br /> <br />SITE ADDRESS: 21338 NE HIGEWAY 99E AR <br />PARCEL: 041W13BA02900 <br /> <br />APPLICANT: JAN ELECTRIC CO <br />ADDRESS: PO BOX 166 <br /> MOLALLA, OR 97038 <br />PHONE: 829-9124 <br /> <br />PARCEL OWNER: COMBS,NORMAN & ETHEL <br /> <br />OCCB: 0001451 <br />FAX: <br /> <br />LICENSE: 3-13C <br />LICENSE: 42718 <br /> <br />Units <br /> <br /> Description <br /> Wiring Based on sq ft <br /> Limited Energy <br /> MA~F SVC/Feed <br /> Service/Feed 200 amp <br /> Service/Feed 201-400 amp <br /> Service/Feed 401-600 amp <br /> Service/Feed 601-1000 <br /> S/F 1001 amps/volts & up <br /> Reconnect Only <br /> Temp s/f 200 amps <br /> Temp s/f 201-400 amps <br /> Temp s/f 401 600 amps <br /> Temp s/f 601-1000 amps <br /> Temp s/f 100 amp/volt up <br /> Branch Circuits <br /> Pump or Irrig Circle <br /> Sign or Outline Lights <br />0 <br /> <br /> Fee Units Description Fee <br /> $0.00 Signal Circuits/LEP's $0.00 <br /> $0.00 Additional Inspection Hfs $0.00 <br /> $0.00 Overtime Inspection Nrs $0.00 <br /> $0.00 Reinspectlon Fee $0.00 <br /> $60.00 Label Fee ?? <br /> $0.00 Master Permit $0.00 <br /> $0.00 Plan Review $0.00 <br /> $0.00 Additional Plan Review ?? <br /> $0.00 Investigation See $0.00 <br /> $0.00 Other Fee $0.00 <br /> $0.00 Misc/Copy Fee ?? <br /> $0.00 State Surcharges $3.00 <br /> $0.00 Refund $0.00 <br /> $0.00 <br /> $0.00 Total Fees: $63.00 <br /> $0.00 Total Pa}~nents: $63.00 <br /> $0.00 Balance Due: $0.00 <br />Additional Circuits ?? <br /> <br />PERMIT IS NON-TRANSFERABLE AND EXPIRES 100 DAYS FROM ISSUE DATE IF WORK HAS NOT COMMENCED, OR IF CONSTRUCTION <br />CF2%SES FOR A PERIOD OF 180 DAYS, OR IF WORK FAILS TO MEET ALL REQUIREMENTS OS STATE LAWS AND MARION COUNTY <br />ORDINANCES. UPON WRITTEN REQUEST, ONE SIX MONTH EXTENSION MAy BE GRANTED. <br /> <br />[ ] I am the SUPERVISING ELECTRICIAN. <br />[ ] I am the PROPERTY OWNER and own, reside in, or will reside in the completed structure and will be my own <br />general contractor. I understand that I must register as a construction contractor if the structure is sold or <br />offered for sale before or upon completion. If I hire subcontractors, I will hire only subcontractors registered <br />with the Construction Contractors Board. If I change my mind and do hire a general contractor who is registered <br />with the Construction Contractors Board, I will irm~ediately notify Marion County of the name of the contractor. <br /> <br />SIGNATURE: X <br /> <br /> <br />