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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 PERMIT <br />DATE/TINE : ~6/18/97 87:43 PERMIT NO : 97-~4522 <br />TYPE : CoRMercial addition/alteration STATUS : ISSUED <br />OCCUPANCY : D ISSUED : ~6/18/1997 <br /> TO EXPIRE : 12/15/1997 <br /> <br />WORK DESC : 2/CIR FOR COMPUTERS IN OFFICE <br /> <br />SIIE AOgKi!%S ~ CITY: MARION COUNTY <br /> 11361 MILL CREEK RD SE AM <br /> <br />~JIo, STREE-f GOLF CLUB <br />F'ARCEI. NUMBER : 56432-~00 <br /> <br />OWNER WAMI~ : STAYTOfl FORD <br /> <br />APPLICAifT <br />HAME : CRAWFORD WILLIAM T <br />Al)DRESS : PO BOX 645 <br /> <br /> STAYTON~ OR <br /> ?HONE : 76~-9431 <br /> <br />CON'iRACTOR : CRAWf'ORD WILLIAM T <br /> PHONE: : 769-9431 <br /> <br /> !£CTRICIAN : WILLIAH ¢RAWFORD CONTROLS <br /> PHONE : 897-2S19 <br /> <br />SUPS,, ELEC : CRAW~ORD WILL. lAM TRUMAN <br />PHONE : CRAWFORD WILLIAM TRUMAN <br /> <br />97S83 <br /> <br />OCCB: 0058969 <br /> <br />CONTRACTOR LICENSE: 24-147C <br /> <br />SUPER¥ISOR LICENSE: 2720S <br /> <br />Un,ts Desc)zi~u t ion Fee <br />........ ]? ' u,.--fT <br /> :i St'8$'e surcharge 1,85 <br /> I Refund . ~e <br /> <br /> Assessed fees : 38.85 <br /> Ad just~ents : .00 <br /> Total fees : 38.85 <br />PAYEE: CRAWFORD Wil.I.IAM T Total paxt~ents: S8.85 <br /> Ba)~nce due : .88 <br />*************************************************************************************** <br /> <br />THIS PERMIT IS HOH-TRAN~FERABLE AND EXPIRES 180 ~YS FROM ISSUE DATE IF WORK HAS <br />NOT COMMENCED, OR IF CONSTRUCTIOH CEASES FOE A PERIOD OF 188 DAYS. OR IF WORK <br />FALLS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY ORDIHAHCES. UPON <br />WRITTEN REQUEST, ~NE SIX MONTH EXTEHSIDH MAY BE GRANTED. <br /> <br />Si~NAFURE OF' APPLICAHT: <br />*********************************************************************************** <br />OONP~:,I )) E WfK/OLEY, MAR)ON COUN'IY BUILP;INB(; O~EIC~'AL / BY MBULL <br /> <br /> <br />