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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/TIME : 66/13/97 16:23 PERMIT NO : ?7-04422 <br />TYPE : Resident. addition/alteration STATUS : ISSUED <br />OCCUPANCY : U-1 ISSUED : <br /> TO EXPIRE <br /> <br />WORK I)ESC : P[JMP PANEL 200 AMPS, 2'-CRS & iRRIGATION CIRCLE <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 11644 EHLEN RD NE AR <br /> <br />CROSS STREET : 1 MILE WEST I-5/EXIT 278 <br />PARCEL NUMBER : 40747-000 <br /> <br />OWNER NAME <br /> <br />AFPLICANT <br /> NAME <br /> ADDRESS <br /> <br />: HAENER, DELBERT A JR &NANNETT J <br /> <br />:HAENER BROS. <br />: 11424 EHLEN RD <br /> AURORA OR <br /> <br />PHONE : 503-678-5392 <br /> <br />CONTRACTliR :HAENER BROS. <br /> PHONE : 503-678-5392 <br /> <br />ELFCTRICIAN : <br /> PHONE : <br /> <br />SOPV ELEC : <br /> F'HONE : <br /> <br />97002 <br /> <br /> OCCB: <br />CONTRACTOR LICENSE: <br />SUPERVISOR LICENSE: <br /> <br />U YI :i, ~:'H. De~c r iL)'L'icm Fee <br />"----~ ..... ,~b-~D]:~e?:i'eeders up -~e 200 amps <br /> i Branch circui ~'s 2.~8 <br />I F'umps/im"i~ation c:i~c]es 4~.~ <br />1 State surcharge 4.68 <br />1 Refund . <br /> <br /> Assessed fees : 96.68 <br /> AdjustMents : .00 <br /> Total fees : 96.60 <br />PAYEE: HAENER BROS. Total pay~,~ents: 96.60 <br /> Balance due : .00 <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 188 DAYS FROM ISSUE DATE IF WORK HAS <br />NOT COMMENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 186 DAYS, OR IF WORK <br />FAILS TO MEET ALL REOUIREMENTS OF STATE LA~S AND MARION COUNTY ORDINANCES. UPON <br />#RITTEM REOUEST~ ONE SIX MONTH EXTENSION MAY DE ~RANTED. <br /> <br />SIGNATURE OF APF'LICANT: ............................................................ <br />****************************************************************************H <br />DONOAL.D E WOOJ)LEY~ MARION COUNTY BUILDINBG OFFICIAL / BY <br /> <br /> <br />