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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 />DATE/TIME <br />TYPE <br />OCCUPN¢CY <br /> <br /> ELECTRICAL PERHZT <br />: 57/23/97 14-'33 <br />.' Resident. addition/alteration <br />: R-3 <br /> <br />PERN~T NO i 97-B56B8 <br />STATUS = ZSSUED <br />ISSUED = 57/23/1997 <br />TO EXPIRE ~ 51/17/1998 <br /> <br />WORK DESC : CHG LOCATION OF SVC/PANEL TO GARAGE ADD: ?7-3376 <br /> <br />SITE ADDRESS : <br /> 8712 SHAW SQ SE AM <br /> <br />CITY: MARION COUNTY <br /> <br />CE[ SS STREET : <br /> <br />PARCEL. NUMBER : <br /> <br />OWNER NAME : <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />PHONE : <br /> <br />HWY 22/8088 BLK OF SILVER FALLS HWY SE <br />75300-968 <br /> <br />JOCHUMS,ED & VICKI <br /> <br /> JOCHUMS,ED & VICKI <br /> 8712 SHAW SO.RD. SE <br /> AUMSVILLE, OR <br /> <br /> 364-0998 <br /> <br />CONTRACTOR JOCHUMS,ED & VICKI OCCB: <br /> PHONE ~ 364-8998 <br /> <br />ELECTRICIAN : <br /> PHONE : <br /> <br />SUPV EI.EC : <br /> PHONE : <br /> <br />97325 <br /> <br />CONTRACTOR LICENSE: <br /> <br />SUPERVISOR LICENSE: <br /> <br />Units Description Fee <br />...... 1 Service/feeders up to 2~8 amps 50.88 <br />1 State surcharge 2.58 <br />1 Refund .00 <br /> <br /> Assessed fees : 52.50 <br /> Ad justments : .00 <br /> Total fees : 52.50 <br />PAYEE: JOCHUMS, ED & VICKI Total paxments: 52.50 <br /> Balance d · <br />********************************************************************************** <br /> <br />THIS PERHIT IS NON-TRANSFERABLE AND EXPIRES1S~ ~YS FROM ISSUE DATE IF WORK <br />NOT CONMEHCED, OR IF COHSTRUCTIGH CEASES FOR A PERIOD OF 1S~ ~YS. OR IF ~ORK <br />FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND H~RIOH COUNTY ORDIH~NCES. UPON <br />WRITTEH REQUEST, ONE SIX ~ORTH EXTEN~ON mY 5E GRANTED. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONDA[mD E WOODLEY, MARION COUNTY BUILDINBG OFFICIAL / BY CLYNCH <br /> <br /> <br />