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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 = 07/28/97 14=04 PERMIT NO ~ 97-05619 <br />TYPE : Resident. addition/alteration STATUS : ISSUED <br />OCCUPANCY : R-3 ISSUED : 87/2~/1977 <br /> TO EXPIRE = 81/19/1998 <br /> <br />~ORK 9E8C = SERV CHG 2/CIR FOR PREVIOUS ~ORK 2/CIR/TO FORNACE <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 10613 MILL CREEK RD SE AM <br /> <br />CROoS STREET <br /> <br />PARCEL NUMBER <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />PHONE <br /> <br />OFF MILL CREEK RD <br />56446-008 <br /> <br />: PICARD~WAYNE M & BETTY <br /> <br />PICARO, WAYNE N ~ BETTY <br />10613 MILl_ CREEK RD <br />AUMSVILLE~ OR <br /> <br />503 749-3415 <br /> <br />?7325 <br /> <br />CONTRACTORpHoNE ~503PICAR~WAYNE749-3415 M & BETTY OCCB: <br /> <br />ELECTR£CIAN : <br /> PHONE : <br /> <br />SUPV EI.EC : <br /> PHONE : <br /> <br />CONTRACTOR LICENSE: <br /> <br />SUPERVISOR LICENSE: <br /> <br />Units Description Fee <br />.....1 'Service/feede]=s up to 208 amps ~ <br />4 Branch circ~its 8.08 <br />I Investigation fee 58.80 <br />1 State surcharge <br /> 2.90 <br />I Refund .00 <br /> <br /> Assessed fees 118.90 <br /> AdjustMents .80 <br /> Total fees 118.98 <br />PAYEE: PICARD~WAYNE N & BETTY Total paxMents: 118.~0 <br /> Balance due · .08 <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 188 DAYS FROM ISSUE DATE IF WORK HAS <br />NOT COHNENCED, OR IF COHSTRUCTIDH CEASES FOR A PERIOD OF 188 DAYS. OR IF WORK <br />FAILS TO NEET i~J.L REOUIRENENTS OF STATE LAWS AND MARION COUNTY ORDIMAHCES. UPON <br />WRITTEH ,RE:O~ST~ ONE SIX HOMTH EXTENSIOHM~Y ~E ~RANTED. <br /> <br />DONDALD E WOOBI. EY~ MARION COUNTY BUI[.~INBG OFFICIAL / BY MBULL <br /> <br /> <br />