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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 /> ELECTRICAL PER~IT <br />DATE/TIHE .I .~6/S3/97 ~8138 PERltIT ~ : 97-~4~47 <br />~PE ~ R~i~t. addition/olt~ation ST~T~ : ISS~D <br />~ .... ~,Re-~ 3 I~D ~ ~6/83/1997 <br /> · TO ~Z~ ~ 11/~/1~7 <br /> <br />WORK DESC : L~MITED ENERGY ALARM SYSTEH <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 8916 SHAW SQ ~E AM <br /> <br />CROSS STREET : <br />PARCEL NUMBER : <br /> <br />OWNER NAME <br /> <br />APPLICAHT <br /> NAME <br /> ADDRESS <br /> <br /> PHONE <br />CONTRACTOR <br />PHONE <br />ELEcTRIcIAN <br /> PHONE <br /> <br />SOPV FI.EC <br />PHONE <br /> <br />HWY22 EXIT ON SHAW SQIJARE RD <br />753~8-470 <br /> <br />LIVERMORE,STEVEN ASR &MARIA <br /> <br />ADT SECURITY SYSTEMS INC <br />783 NE HANCOCK ST <br /> <br />PORTLAND, OR 97212 <br />284-3265 <br /> <br />ADT SECURITY SYSTEMS INC <br />284-3265 <br /> <br />GRAVES BRADLEY S. <br />236-434& <br /> <br /> OCCB: 805?944 <br />CONTRACTOR LICENSE: 783JLE <br /> <br />SUPERVISOR LICENSE: <br /> <br />Units Oescription Fee <br />~ Limited energy fee 20.00 <br />1 State surcharge 1.80 <br />I Refund ,80 <br /> <br /> Assessed fees : 21.80 <br /> AdJustments : <br /> Total fees : 21.~8 <br />PAYEE: ADT SECURITY SYSTEMS INC Total payments: 21.88 <br /> Balance due : <br /> <br />THIS PERHIT IS NON-TRANSFERABLE AND EXPIRES 18~ D~YS FROH ISSUE DaTE IF WORK HAS <br />NOT COHHENCED, OR IF CO~TRUCTION CE/~qES FOR A PERIO9 OF 18~ DAYS. OR IF #ORK <br />FAILS TOHEET ALL REGUIREHEHTS OF STATE L/dJS ~ IM~ION COUNTY ORDII~NCES. UPON <br />URIII~N REGUEST, ONE SIX Yd)NTH EXTENSION DaY BE <br />SIGNATURE OF APPLICANT: <br /> <br />DOMDALD E wOoDEEY, MARION COUNTY BUILDINBG OFFICIAL / DY TTONEY~4.~~' <br /> <br /> <br />