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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-36'/'0 <br />Office Houre: 8:00.4:30 · Phone: (503) 588-5147 · 24-HR Icepection Lice: (503} 373-4427 <br /> <br /> ELECTRICAL PERHIT <br />DATE/TTHE : 18/S1/96 11:28 PERflIT HO : 96-87785 <br />TYPE : Resident. addition/alteration STATUS : ISSUED <br />OCCUPANCY : R-3 ISSUED : 10/81/1776 <br /> TO EXPIRE : 83/~0/1997 <br /> <br />WORK DESC : SVC CHG <br /> <br />SITE ADDRFSS : CITY: AURORA 21287 NIGHWAY ~E NE AR <br /> <br />CROSS STRFFT : BOBS AVE <br /> <br />PARCEl. NIJHBER : 40586-000 <br /> <br />OWNER NAMF : FALllK, JINMY D <br /> <br />APPLICANT <br /> NANF <br /> AO1)RESS <br /> <br />: FAOLK,J]HMY D <br />: 21287 HIGHWAY ~DE NE <br /> AURORA, OR <br /> <br /> 97~82 <br /> PHflNF : 503-678-1647 <br /> <br />CONTRACTOR : FAUt. K,.JIMHY, D OCCB: <br /> PHONF : 503-678-]642 <br /> <br />EI.ECTRICIAW : CONTRACTOR LICENSE: <br /> PHONE <br /> <br />StIP¥ PI.~C : SUPERVISOR LICENSE: <br />PHONF : <br /> <br />IJl'l'[ r;~; I)e~c:r irJtio~ <br />--'--~ .~'rvlcP/Tee~Prs up to 70~ amps <br />I stere surcharge <br />I Refund <br /> <br /> Assessed fees : 52.50 <br /> Adjustments : .00 <br /> Total f~es : 52.50 <br />PAYFF: FAUIK,JIMMY D Total payments: 52.58 <br /> Balance due : .00 <br /> <br />THIS PERNIT IS NON-TRAHSFERABLE AND EXPIRES 188 ~YS FROH ISSUE DATE IF #ORE HAS <br />k~T COH~FI,~.ED, OR IF CDHSTRUCTTON CEASES FUR ~ PERIOD OF 188 DAYS. DR IF WORK <br />FAILS TO NEET ~.L REQUIREHENTS QF STATE LAWS AND HARION COU~Y ~DINANCE5. UPON <br />~TTTEN RE~IF~T~ O~ SIX H~TH EXTE~TOH HAY aE ~ANTED. <br /> <br />SIGNATURE OF APPL. TCANT: <br /> <br />OONDALO E WOOQI.EY~ MARION COUNTY BUII.OINBG OFFICIAL / BY CLYNCH <br /> <br /> <br />