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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/TIME = ~7/10/97 11=21 PERNIT NO : 97-05192 <br />TYPE : Resident. addition/alteration STATUS : ISSUED <br />OCCUPAtlCY = R-3 ISSUED = 87/10/1997 <br /> TO EXPIRE : 81/86/1978 <br /> <br />WORK DESC : RD FOR MOVE HSESVC (200 AMP SVC ON POLE FOR FUTURE <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 11954 WEST STAYTON RD SE ST <br /> <br />STREET <br /> <br />PARCEL NUMBER : <br /> <br />OWNER NAME : <br /> <br />APPLICANT <br /> NAME : <br /> ADDRESS : <br /> <br />BETWEEN BELDEN & BEAN ALLEY <br />75720-140 <br /> <br />STANLEY WENDELL <br /> <br />STANLEY WENDELL <br />11954 W STAYTON ROAD SE <br />AUMSVILLE~ OR <br /> <br />PHONE : 503-769-5199 <br /> <br />97~25 <br /> <br />CONTRACTr)R : STANLEY WENDELl. OCCB: <br /> PHONE : 503-769-5J99 <br /> <br />ELECFRICIAN : <br /> PHONE : <br /> <br />SUF'V E!.EC : <br /> PHONE : <br /> <br />CONTRACTOR LICENSE: <br /> <br />SUPERVISOR LICENSE: <br /> <br />Ih~i I:s Descriotion Fee <br />-"--[ ..... Serv'ice/feeders Lip to 200 amps ~ <br />1 State surcharge 2.50 <br />1 Refund .00 <br /> <br /> Assessed fees : 52.50 <br /> Adjustnents : .00 <br /> Total fees : 52.58 <br />PAYFE: STANLEY WENDELL. Total paxments: ~.~ 50 <br /> Balance ~ue : .00 <br /> <br />THIS PERMIT IS NON-TRANSFERABLE ~D EXPIRES 188 I)AYS FROM ISSUE DATE IF ~ORK HAS <br />NOT COMHENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 188 DAYS~ OR IF WORK <br />FAILS TO NEET ~LL REQUIREMENTS OF STATE L~WS AND MARION C~UNTY ORDINANCES. UPOH <br />WRITTEM REOUEST~ ONE SIX MONTH EXTENSION HAY BE ~RAHTED. /~ <br />SIGNATURE ~F APF'LICANT: .................................................... ~_ <br />********************************************************************************** <br />DONDAi_D E WOODLEY~ MAR~ON COUNTY BUI[.~IN~C OFFICIAL / BY CLYNCH <br /> <br /> <br />