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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 /> ELECTRXC~L PERHZT <br />]~ATE/T]:NE ~ ~"~/97 I3~B3 PER, IT NO : 77'-~4~29 <br /> ~, Resident. addition/alteration STATUS : ISSUED <br /> <br /> TO EXPIRE : 11/29/1997 <br /> <br />WORt( I)ESC : SERV/t~ CIR <br /> <br />SITE ADDRFSS : CITY: MARION COUNTY <br /> t8563 SCHULER RD NE AR <br /> <br />CROSS STREFT : BUTTEVILLE <br />PARCEL, MIJM~ER : 46277-6~6 <br /> <br />OWNFR NAME : <br /> <br />APPLICANT <br /> NAHF <br /> ,ADDRESS <br /> <br />WOOD,EMERSON G & MARILYH C <br /> <br />CLOSHER DOUGLAS D <br />164§6 S FOREST GLEN DR <br /> <br /> HULINO, OR <br /> PHON~ : 829-5t66 <br /> <br />CONTRACTOR : CLOSNER DOUGLAS D <br /> <br />FI FCTRICIAN : DOUGLAS ELECTRICAL <br /> PHONE : 829-5160 <br /> <br />SIIPV ELFC : CLOBMER DOUGLAS ~ <br />PHONE : CL. OSHEE DOUG[.~S D <br /> <br />97~42 <br /> <br /> OCCB: 6076274 <br /> <br /> CONTRACTOR LICENSE: 3-306C <br /> <br /> St~FRVISOR LICENSE: 3790S <br /> <br />Units Description <br />I Service/feeders up to ~B amps <br />lB Branch circuits <br />I State surcharge <br />1 Refund <br /> <br />Fee <br /> <br />~.~ <br /> <br /> 3.56 <br /> <br /> Assessed fees : 73.50 <br /> Ad justments : . ~0 <br /> Total fees : 73.56 <br />pAyEE: CtOSNER DOUGLAS D <br /> Total pa)~ents: 73.50 <br /> Balance due ~ .~ <br /> <br />TNI8 P~IT IS ~-TE~E~E ~ EXPI~S 18~ ~YS F~ IS~ ~ATE IF ~K <br />~[ ~, ~ IF ~TR~TI~ ~S FOR ~ ~I~ ~ 18~ ~YS. ~ IF ~ <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONDAI.D E WOODLEY, MARION COUNTY BUILDINBG OFFICIAL / BY MBULL <br /> <br /> <br />