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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 /> ELECTRZCAL PERMIT <br />~TE/TIE : ~6/3~/97 1B~16 PERflZT HO : 97-~4B56 <br />TYPE : ~rctal addition/alteration STA~S : ~SSUED <br />~Y = ~ IS~ = ~6/3~1997 <br /> TO EXPZRE = ~2/27/Z997 <br /> <br />WORK ~ESC : 2/CIR LIGHTS TN OFFICE ADDITION <br /> <br />SITE A~DRFSS : CITY: MARION COUNTY <br /> 127~4 EHLEN RD fie AR <br /> <br />CROSS STRFET : I-5 EHLEN <br />PARCEL NUMBER : <br /> <br />OWNER NAME : <br /> <br />APPLICANT <br /> NAME <br /> AOBRESS <br /> <br /> PHONE : <br /> <br />CONTRACTOR <br />PHONE <br /> <br />ELECTRICIAN <br /> PHONE <br /> <br />SUPV ELEC <br />PHONE <br /> <br />YULE TREE FARMS DBA <br /> <br />YULE TREE FARMS DBA <br />127B4 EHLEN RD NE <br />AURORA, OR <br /> <br />678-21B1 <br /> <br />77~02 <br /> <br />: MICHAEL. RAFFAELL CONSTRUCTION IN <br />: 632-6720 <br /> <br />: RAFFAELL MICHAEL R <br />: 632-6720 <br /> <br />: RAFFAELL MICHAEL R <br />: RAFFAELL MICHAEL R <br /> <br /> OCCB: 0058422 <br />CONTRACTOR LICENSE: 3-279C <br />SIIPERVISOR LICENSE: 2562S <br /> <br />Units Description Fee <br />2 Branch circldts <br /> 37.00 <br />1 State surcharge 1.85 <br />1 Refund .0B <br /> <br /> Assessed fees 38.85 <br /> Adjustments <br /> Total fees 38.85 <br />PAYEE: YULE TREE FARMS DBA Total paTments: 38.85 <br /> Balance due : <br /> <br />THIS PERMIT IS NON-TRANSFERAbLE t~l~ EXPIRE5 18~ ~YS FROM ~S~UE DATE ~F ~OR~ HA~ <br />NOT COMMEMCED, OR IF CO#STRUCTIOH CE~SE~ FOR A P~RIOD OF 1~ ~Y~ OR ~F #ORK <br />F~ILS TO MEET &LL REQUIREMENTS OF ~TATE L~t~ AMD HARIOH COUMTY ORD~H~HCES. U~H <br />~R~TTEN REG~ST, ~ SIX ~ EXTE~ION ~Y BE ~HTED. <br /> <br />SIGNATURE OF ~PPLIC~HT: <br /> <br />DOH~A!..O E g~OL~Y, M~RION COUHTY BUIL~IH~G OFFICIAL / ~Y PHUNRO <br /> <br /> <br />