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ELEC - 1481774
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ELEC - 1481774
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Last modified
10/14/2010 3:22:45 PM
Creation date
9/2/2004 12:50:57 PM
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Template:
Permits
Permit Address
21510 MAIN ST NE
Permit City
Aurora
Permit Number
555-97-06493
Parcel Number
041W12CD06200
Permit Type
ELEC
Permit Doc Type
Permit Document
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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancsster Dr. N.E. · Suite C · Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 ° 24-HR Inspection Une: (503) 373-4427 <br /> <br /> ELECTR[CN. PERHIT <br />DATE/TZHE : ~8/28/97 16:54 PERHIT HO : 97~86493 <br />TYPE = ConnerciaJ addition/alteration STi~TUG : ISSUED <br />OCCUPNJCY :B ISSUED : 88/2B/1~97 <br /> TGEXPIRE : <br /> <br />WORK DESC : PD FOR I CIR FOR DISHWASHER <br /> <br />S~TE ADDRESS : CITY: AURORA 21518 NAIH ST NE AR <br /> <br />CROSS STREET <br /> <br />PARCEL NUMBER <br /> <br />OWNER NAME <br /> <br />: SECOND ST <br /> <br />: 98160-15g <br /> <br />: AURORA AMERICAN LEGION <br /> <br />APPLICANT <br />NAME : ENGELMAN ELECTRIC <br />ADDRESS : PO BOX 451 <br /> <br /> HUBBARB, OR ?7032 <br /> PHONE : 981-8841 <br /> <br />CONTRACTOR : ENGELMAN ELECTRIC INC OCCB: 8874581 <br /> PHONE : 9B1-8841 <br /> <br />FIECTRICIAN : ENGELMAN ELECTRIC INC CONTRACTOR LICENSE: 24-46C <br /> PHONE : 981-8041 <br /> <br />SHPV ELEC : ENGELMAN WILLIAM K SUPERVISOR LICENSE: 1433S <br />PHONE : ENgELNAN WILLIAM K <br /> <br />Unit~ Description Fee <br /> - Branch circuits <br /> I State surcharge 1.75 <br /> 1 Refund .80 <br /> <br /> Assessed fees : 36.75 <br /> Adjustments : <br /> Total fees : 36.75 <br />PAYEE: EN~ELHANELECTRIC INC Total pexments! 36.75 <br /> Balance ~ue .88 <br /> <br />l~)~S_~.l~$ ~T_R~I~_..FERABL~ ~ EXPIRE_S 18'B D~YS FROH ISSUE D~TE ZF WORK HAS <br />WRITTEN '~:~ ~ S~ STATE LA~ ~D HARI~ ~TY ~I~S. UP~ <br /> ~, ONE ~X ~HTH ~TE~I~,HAY ~ ~. <br />SI~NA'rORE OF APPLICANT: ................................... _~ <br /> <br />~ONDALD E WOO~LEY, MARION COUNTY BUIL~INBG OFFICIAL / BY CLYNCH <br /> <br /> <br />
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