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ELEC - 1475513
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ELEC - 1475513
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Last modified
10/14/2010 3:23:19 PM
Creation date
8/19/2004 1:10:11 PM
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Template:
Permits
Permit Address
21966 LAUREL AV NE
Permit City
Aurora
Permit Number
555-97-05133
Parcel Number
041W11CB00400
Permit Type
ELEC
Permit Doc Type
Permit Document
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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/TIHE : 07/88/97 15=24 PERHIT NO : 97-85133 <br />TYPE : Resident. addition/alteration STATUS : ISSUED <br />OCCUPANCY : R-~ ISSUED : 07/08/1977 <br /> TO EXPIRE : 01/04/1998 <br /> <br />WORK DESC : MD SERV CH~ <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 21966 LAUREL AV NE AR <br /> <br />CROSS STREET : WISTERIA <br /> <br />PARCEL NUMBER : 7~018-580 <br /> <br />OWNER NAME : ZERVAS JACK <br /> <br />APPLICANT <br /> NAME : <br /> ADDRESS : <br /> <br />PHONE <br /> <br /> ZERVAS JACK <br />21966 LAUREL AV NE <br /> AURORA <br />OR <br /> 478-1!98 <br /> <br />97802 <br /> <br />CONTRACTOR : ZERVAS JACK OCCB: <br /> PNONE : 678-11~8 <br /> <br />Eli LCTRICIAN : <br /> F'HONE : <br /> <br />SUPV ELEC <br />PHONE <br /> <br />CONTRACTOR LICENSE: <br /> <br />SUPERVISOR LICENSE: <br /> <br />Units Description _ ~ Fee <br /> £ Manf dwelling serwce/feed '7p~77~1~ <br /> 1 State surcharge ~.00 <br /> 1 Refund .80 <br /> <br /> Assessed fees : 42.88 <br /> Adjustments : .00 <br /> Total fees : 42.08 <br />PAYEE: ZERVAS ,lACK Total p~yMents: 42.00 <br /> Balance due : .00 <br /> <br />TH~S PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUE DATE IF ~ORK HAS <br />NOT COHNENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF WORK <br />FALLS TO NEET ALL REOUIREHENTS OF STATE LAWS AND MARION COUNTY ORDINANCES. UPOH <br />WRITTEH REOUEST, ONE SIX N~NTH EXTENSION HAY DE GRANTED. _ <br /> <br />D£IWDAID E WOODLEY, MARION COUNTY BUILD!NBI; OFFICIAL / BY MBULL <br /> <br /> <br />
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