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ELEC - 1466490
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ELEC - 1466490
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Last modified
2/9/2013 1:48:30 PM
Creation date
8/9/2004 2:21:07 PM
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Template:
Permits
Permit Address
21287 HIGHWAY 99E NE
Permit City
Aurora
Permit Number
555-96-07785
Parcel Number
041W13BA02400
Permit Type
ELEC
Permit Doc Type
Permit Document
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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br />DATE/TINE <br />TYPE <br />OCCUPNiCY <br /> <br /> 285 Chumh Street NE · Room l$2 °Salem, Oregon97301-$670 <br /> OfllceHours:8:~).4:30* Phone:(50~ 588-5147.24-HRtnspectlo~Une:(503)3T3-4427 <br /> ELECTRICAL <br /> = 1B/eB/96 15=3B ~RNIT HO = 96-B7785 <br /> : Resident. addition/alteration ST~T~ : ISSUED <br /> <br /> TO EXPIRE : <br /> <br />WOR~ ~ES~ : SV~ CHg ~ CIR R~WIRE RES <br /> <br />S~TE ADDRFSS : CITT: AURORA 21287 HIGHWAY 99E ~ AR <br /> <br />CROSS STREET : BORS AVE <br /> <br />PARCEL NtIMSER : 4~586-0~0 <br /> <br />OWNER NAME : FAIILK, JIMMY D <br /> <br />APPLICANT <br />NAME :,FAIILK,.IIMMY D <br />ADDRESS , 21287 H~GHWAY ~?E NE <br /> AURORA~ OR <br /> <br /> : 5~3-67B-1642 <br /> <br />CON [RAt [ ~R FAULE.J[~HY ~ <br />PNONF ~ 5~-678-1642 <br /> <br /> PH(INE' : <br /> <br />SUPV ELEC : <br /> : <br /> <br />97002 <br /> <br /> OCCB: <br /> <br /> CONTRACTOR LICENSE: <br /> <br /> SUPER¥[SOR LICENSE: <br /> <br />ll~±ts Description _ Fee <br />---~? t~esid~nt~al wi~r~-~g ?e(~ 205. ee <br />I State surcharge 18.25 <br />~ Re fund .00 <br /> <br /> Assessed fees : 215.25 <br /> AdjustMents : .00 <br /> l'ota! fees : 215.25 <br />F'AYFF: F'AULI(,.IIMMY D Total payments: 215.25 <br /> Balance due : .00 <br /> <br />THIS PERHIT IS NOH-TRANSFERABLE AHSEXPIRES 1S~YS FROH I~UE ~TEIF I~}RKHA~ <br />~T COH~H~D, OR IF ~STRUCTION ~ASESFOR A ~IOD OF 188 ~YS, ~ IF ~0~ <br />FAILS TO ~ET ~LL REGUIREHEHTS OF STATE LA~S ~HD H~R[OH CO~TY ORDIH~CE8. ~OH <br />~]TTEH REgUFST~ ~F S~X HOHTH EXTEHSI~ HAY ~E ~HTED. <br /> <br />S'[{;NATIJRE OF APPLICANT: <br /> <br />OONOALD ; WOODLEY. MARION COUNTY BU{LDINBG OFFICIAL / BY CLYNCH <br /> <br /> <br />
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