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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr. N.E. · Suite C * Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 * 24-HR Inspection Line: (503) 373-4427 <br /> <br /> · ,,~ L.,, ELECTR*[C~L PERMIT <br />D4TE/TIHE ~= ~/B3/97 ID-'ID PERHIT HO : 97-~4eD5 <br />TYPE -. Hew Commercial STATUS = ISSUED <br />O~CUPANCY = g ISSUED : ~6/~/1997 <br /> TO EXPIRE : 11/3~/1997 <br /> <br />WORK DESC : 4 CIR FOR RECEPTICALS (REMODEl. OF ANTIQUE STORE) <br /> <br />S~TE ADDRFRS : <br /> <br />CITY: AURORA <br /> <br />21687 HIGHWAY 99E NE AR <br /> <br />CROSS STREFT : 2ND AND 99E <br />PARCEL NUMBER : 9~t6~-~5~ <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> A~DRESS <br /> <br /> PHONE <br /> <br />CONTRACTOR <br />PHONE <br /> <br />~I.ECTR[CTAN <br /> PHONE <br /> <br />SUPV EI.EC <br />PHONE <br /> <br />HAYS JOHN <br /> <br />HAYS JOHN <br />PO BOX 287 <br />AURORA OR <br /> <br />673-1044 <br /> <br />HAYS JOHN <br />673-1044 <br /> <br />970B2 <br /> <br /> OCCB: <br /> <br /> CONTRACTOR LICENSE: <br /> <br /> SIJPERVTSOR LICENSE: <br /> <br />IJ~nits Descrtption Fee <br />4 Branch circuits 4i.e~ <br />1 State surcharge 2.~5 <br />1 Refund <br /> <br /> Assessed fees : <br /> Adjustments : <br /> Total fees : 4~.a5 <br />PAYEE: HAYS JOHN Total payments: 43.05 <br /> Balance due : <br /> <br />THIS PERHIT IS NON-TRP~IGFER~BLE AND EXPIRED 188 D~YS FROM ISSUE DATE IF #ORK HAS <br />~T CO~E~ED~ ~ IF ~BTR~TI~ ~S F~ A ~IOB OF <br />F~[L~ TO MEET ~L REQUIRE~TS ~ ~ATE L~5 ~ ~1~ C~TY ~%HA~ES. UP~ <br />~%HmH RE--ST, O~ SIX H~TH E~E~I~ MAY BE <br />SIGNATURE OF APPLICANT: <br /> <br />~OflBAt. D E WOO~LEY~ MARION COUNTY BUILDIflBG OFFICIAL / BY <br /> <br /> <br />