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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 PERNIT <br />DATE/TIHE , ~&/3~/97 1.,21 5P~ HO <br />TYPE = Resident. addition/alteration ~ tl~15 <br />OCCUPN~CY = U-1 ISSUED = E6/3e/1997 <br /> TO EXPIRE : 12/27/1997 <br /> <br />WORK DESC = PD FOR (2~0 AHP SVC ~3 CIR FOR PUMP HOUSE <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 7§~B ALBUS RB SE AM <br /> <br />CR(SS STREET : LEVRMAN RI) <br />PARCEL NUMBER : 56312-000 <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />PHONE <br /> <br />CONTRACTOR <br />PNONE <br /> <br />FLECTRICIAN <br /> PHONE <br /> <br />S~)PV ELEC <br />PHONE <br /> <br />: ETZEL,LEROY A & JANINE MARIE <br /> <br />PACIFIC COAST ELECTRIC INC <br />1425 E. SANTIAM STREET <br /> <br />STAYTON, OR 97~83 <br />767-7&71 <br /> <br />PACIFIC COAST ELECTRIC INC <br />769-7671 <br /> <br />PACIFIC COAST ELECTRIC INC <br />769-7671 <br /> <br />GILLETTE ROBIN ALLEN <br />GILLETTE ROBIN ALLEN <br /> <br /> OCCB: ~045933 <br />CONTRACTOR LICENSE: 24-172C <br />SUPERVISOR LICENSE: 3653S <br /> <br />Units Description Fee <br />-- ~ ~' Se'rvice/feeders up tO 2~0 a~ps 50.0~ <br />3 Branch circuits 6.00 <br />I State surcharge 2.80 <br />1 Refund .00 <br /> <br /> Assessed fees : 58.80 <br /> Adjustments : .0~ <br /> Total fees : <br />PAYEE: PACIFIC COAST ELECTRIC INC Tofal pa×~ents: 58.80 <br /> Balance ~ue : .mB <br /> <br />THIS PERNIT IS NON-TRANSFERABLE AND EXPIRES lBS DAYS FROH ISSUE DATE IF WORK HAS <br />NOT COHNENCED~ OR IF CONSTRUCTION CEASES FOR A PERIOD OF I~e DAYS. OR IF WORK <br />FAILS TO NEET Ni REOUIREHEHTS OF STATE LAWS AHDHRRIOH COUNTY ORBIHANCES. UPOH <br />WRITTEH ~Q~ST~ O~ SIX HOHTH EXTE~I~ H~Y ~ <br /> <br />SIGNATURE ~F APPLICANT: ............................................ <br /> <br />OONOALD E WOOOLEY, MARION COUNTY BUILDINBG OFFICIAL / BY CLYNCH <br /> <br /> <br />