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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr. N.E. · Suite C · Salem, Oregon 97305-1398 <br />Office Hour~: 8:00-4:30 * 'Phone: (503) 588-5147 * 24-HR Inspection Line: (503) 373-4427 <br /> <br /> ELECTRICAL PERMZT <br />DATE/TIHE = ~/12/97 14=21 PERH~T NO = 77-E3588 <br />TYPE : Neu Residential STATUS = ISSUED <br />OCCUPANCY : R-3 ISSUED ~ 86/12/1~7 <br /> TD EXPIRE <br /> <br />WORK DESC : MH SERVICE <br /> <br />SITE ADDRESS : CITY: DETROIT 248 BOULDER ST DT <br /> <br />CROSS STREET : BUTTE ST <br /> <br />PARCEL NONBER : 90222-198 <br /> <br />OWNER NAME <br /> <br />AF'F'LICANT <br /> NAME <br /> ADDRESS <br /> <br />: gRIST,BRIAN C & JAMILYN K F <br /> <br />CRIST, BRIAN <br />5785 ROONSTOVE LP SE <br />SALEM OR <br /> <br />PHONE : 503-371-8133 <br /> <br />CONTRACTOR <br />PHONE <br /> <br />: SCOTT RICHARD EUGENE <br />: 581-1192 <br /> <br />ELECTRICIAN : SCOTT ELECTRIC <br /> PNONE : 581-1192 <br /> <br />OCCB: 8~24558 <br /> <br />CONTRACTOR LICENSE: 24-115C <br /> <br />SURV ELEC : SCOTT RICHAR9 E SUPERVISOR LICENSE: 2381S <br />PHONE : SCOTT RICNAR~ E <br /> <br />~pi.~_. Description Fee <br /> Manf dwelling serv~c'e/feed <br /> I State surcharge 2.88 <br /> 1 Refund <br /> <br /> Assessed fees : 42.88 <br /> Adjustments : .88 <br /> Total fees : 42.88 <br />PAYEE: CRIST, BRIA~ Total paxMents: 42.00 <br /> Balance ~ue : .00 <br /> <br />THIS PERMIT IS NOH-TRANSFER~BLE NU) EXPIRES 188 ~AYS FROH ISSUE DATE IF ;,JORK HAS <br />HOT COHHEHCED~ OR IF COHSTRUCTIOH CERSES FOR A PERIOD OF 188 DAYS. OR IF WORK <br />FAILS TO NEET ALL REOUIREHEHTS OF STATE LAWS AND HARIOH COiJHTY ORBIHAHCES. UPOH <br />WRITTEH REQUEST~ OHE SIX HOHTH EXTEHSIOH HAY DE GRAHTED. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONDALD E WOODLEY, MARION COONTY BU]LDINBG OFFICIAL / BY PHUNRO~t/ <br /> V <br /> <br /> <br />