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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaeter Dr. N.E. · Suite C · Salem, Oregon 97305-1395 <br />Office Hours: 8:00-4:30 ° Phone: (503) 588-6147 · 24-HR Inapectlon Line: (503) 373-4427 <br /> <br /> ELECTRICAL PERNIT <br />DATE/TIHE : S5/2~/97 14:~8 PERHIT NO : 77-83626 <br />TYPE : HeN Residential STATUS : ISSUED <br />OCCUPANCY : R-~ ISSUED : S5/2~/1777 <br /> TO EXPIRE : 11/16/1997 <br /> <br />W(~kK OESC : PD FOR I CIR W/NO D]SCOUNT FOR WELL FRM MF~ PANEL <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> ~2S64 WEST STAYTON RD SE ST <br /> <br />CROSS STREET : EAST OF BEAN ~LI.[::Y <br /> <br />PARCEL NI MJ ER : 7,5710-120 <br /> <br />OWNF'R ~AME : THOMPSON, CURTIS & MONA <br /> <br />Al' I- LI...AN <br /> NAME <br /> ADDRESS <br /> <br />: THOMPSON, CURI'IS & MONA <br />: <br /> 12364 W. SIAYTON RD <br /> STAYTON OR <br /> <br />F'HOHE : 749-7853 <br /> <br />97~85 <br /> <br />(.:ONTRACT[tR : THOMPSON, CURTIS & MONA OCCB: <br /> PHONE : 769-785~ <br /> <br />EI.ECTRtCtAN <br /> PHONE <br /> <br />CONTRACTOR LICENSE: <br /> <br />,C¢ltl"V E: " <br /> :... El. : <br /> PHONE : <br /> <br />SUPERVISOR LICENSE: <br /> <br /> Des F~:'io~ Fee <br /> 1 ~-~ a n c h--~ :i. i" c u i t s -"35.00 <br />1 Slate surchmrge 1.75 <br />:1. Refund .00 <br /> <br /> Assessed fees : ~6.75 <br /> AdiustMents : .00 <br /> To~a]. fees : 36.75 <br />PAYFE: THOMF'SON~ CURTIS & MONA Total payments: 36.75 <br /> Balance due : .00 <br /> <br />THIS PERHIT IS NON-TRANSFERABLE AND EXPIRES 188 DAYS FROH ISSUE DATE IF WORK HAS <br />HOT COHHEHCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 18~ DAYS. OR IF WORK <br />FAILS TO HEET ALL REOUIREHEN~S OF STATE LA~S AND HARION COUNTY ORDINANCES. UPON <br />WRITTEN REOUEST~ ONE SIX HDNTH EXTENSION HSY BE GRANTED. <br />9..GNA'lURE OF APPLICANT: .................. ~/_ ......................... <br /> <br />QfiN))AL9 E WOO~L. EY, MARIOI- COUNTY BUTLDINBG OFFICIAL.. / BY CLYNCF <br /> <br /> <br />