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MARION COUNTY BUILDIN(; INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Houre: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inepmctlon Una: (503) 373-4427 <br /> <br /> ELECTRICAL PERHIT <br /> : ~S/S3/96 12:47 PERMIT NO : 96-D7673 <br /> = Resident. addition/alteration STATUS : ISSUED <br />OCCUPANCY : R-3 ISSUED = 1S/~3/1996 <br /> TO EXPIRE = ~4/S1/~997 <br /> <br />WORK DESC : ADD: 18g AMP FDR, 2 CIR FOR HEATERS <br /> <br />STTE ADDRESS : CITY: MARIOH COUNTY <br /> 11131 FARGO RD NE AR <br /> <br />CROSS STREET : N/A <br /> <br />PARCEL NOMBER : 40315-880 <br /> <br />OWNER NAME : HOVE, IVAN <br /> <br />APPLICANT <br />WANE : ENGELMAN ELEC'rRIC INC <br />ADDRESS : PO BOX 451 <br /> <br /> H[I~BARD, OR <br /> PHONE : 981-8041 <br /> <br />CON'[RACTOR : ENCELMAN ELECTRIC INC <br /> PHONE : 981-8841 <br /> <br />ELECTRICIAN : <br /> PHONE : <br /> <br />SUPV ELEC : <br /> PHONE : <br /> <br /> OCCB: 8894581 <br />CONTRACTOR LICENSE: <br />SUPERVISOR LICENSE: <br /> <br />Onits DescriBtion Fee <br />1 e.~'d~'7'feeders up to 288 amps "' 58.~ <br />2 Branch cir~:~dts 4.88 <br />1 State surcharge 2.78 <br />1 Ref~nd . ~0 <br /> <br /> Assessed fees 56.78 <br /> Adjustme~ts .08 <br /> Total f~es 56.78 <br />PAYEE: ENGELMAN ELEC'fRIC INC Total payments: 56.70 <br /> Balance due · .88 <br /> <br />THIS PERMIT ~S HOH-TRAMSFERADLE AND EXPIRES 188 D~YS FROM ISSUE DATE IF #ORK HAS <br />NOT COflMENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 18~ DAYS. OR IF gORK <br />FALLS TO MEET ALL REQUIREMENTS OF STATE L/~JS ~ H/~RIOH CSUHTY ORDII~HCES. UPOH <br />ORITTEH REGUEST~ OHF SIX MONTH EXTEHSIOM MAY DE GRANTED. <br /> <br />SIGNATURE OF APPLICANI': <br /> <br />QONQALO E WOODLEY~ MARION COUNTY BUILBINBG OFFICIAL / 8Y CLYNCH <br /> <br /> <br />