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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 /> ELECTRICA[ PERHIT <br />DATF/TTHE : ~8/21/97 I~:37 PERH[T NO : 97-~65~9 <br />TYPE :Restdent. addttion/alte~ation STATU6 <br />~Y <br /> ~/21/1~7 <br /> TO. EXPI~ ~ ~2/17/19~ <br /> <br />WORK DFSC : I CTR FOR SEPTIC POMP <br />~]TF A~DR~ ~ CITY: MARION COUNT~ <br /> <br />CR(1,~S STREET : <br /> <br />PARCEL NIJHSFR : 48791-~80 <br /> <br />OWNFR NAHE <br /> <br />: KLtlNDT, EDWIH & ROSE MARY <br /> <br />APPLICANT <br />NAME : ENGELMAfl ELECTRIC I, NC <br />ADDRESS : PO BOX 451 <br /> <br /> HIIB~ARD, OR 97832 <br /> PHONE : 981-8841 <br />CONTRACTOR : ENGELHAN ELECTRIC INC OCCB: 0874581 <br /> PHONE : 981-8841 <br />F[FCTRICtAN : FNGELMAN ELECTRIC 1NC CONTRACTOR LICENSE: 24-4&C <br /> PHONE : 981-8841 <br /> <br />SUPV E[EC : ENGELMAN WILLIAM K SUPERVISOR LICENSE: 1433S <br />PHONE : ENGELMAN WILLIAM K <br /> <br />Branch c~rcu~ts Fee <br />State surcharge 35.8~ <br />Refund 1.75 <br /> <br /> A~sessed fees : 36.75 <br /> AdJustments : <br /> Total fe~s : 36.75 <br />PAYEE: ENGEI.MAN ELECTRIC THC Total paxments: 36.75 <br /> Balance ~ue · .00 <br /> <br />THIS PER~IT IS NON-TRN4SpERRBLE ~ EXPIRES 18B ~Y8 FRON <br />~T C~O~ ~ IF CO~T~TI~ ~ES F~ A ~I~,~ 1~ ~YS, ~ IF ~RK <br />AILS TO ~ ALL ~BUIR~TS~ STATE ~MS AND ~I~ C~TY <br />~TTEN ~ST~ ~E SIX ~TH EXTENSI~ ~y ~ <br /> <br />SI~NAT[IRE OF ~PPL~CANT: <br /> <br />9~Ni)al~ E W~O~LEY, HAEION COLINTY BUILOINBG OFFICIAL / BY TTONEY~ <br /> <br /> <br />