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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 kancemter Dr, N.E. · Suite C · Salem, Oregon 97305-13~8 <br />Office Hours: 8:00-4:30 ° Phone: (503) 588-0147 · 24-HR Inspection Line: (503) 373.4427 <br /> <br /> ELECTRICAL PERHIT <br />DATE/TIHE : B?/3B/97 ~?:12 PERMIT NO : 97-e7764 <br />TYPE : Resident. addition/alteration STATUS : ISSUED <br />OCCUP~CY = R-3 ISSUED : <br /> TO EXPIRE = 83/29/1798 <br /> <br />WORK OESC : CHANGE OUT 208AHP SERV <br /> <br />S]llE ADIIRFSS : CITY: MARION COIJNTY <br /> 21587 CASE RB NE AR <br /> <br />CROSS STREET : N/A <br /> <br />PARCEl NUMBER <br /> <br />OWNER NAME : WERINLINGER BOI,t <br /> <br />APPLICANT <br /> NAME <br /> AOORESS <br /> <br />: ENGELMAN ELECTRIC INC <br />: PO BOX 451 <br /> <br /> HUBBARB, OR 97832 <br />PHONE : 981-8841 <br /> <br />CCNTRACTOR <br />PHONE <br /> <br />; ENGELMAN ELECTRIC INC <br />:981-8841 <br /> <br />OCCB: 0094581 <br /> <br />FIECTRICIAN <br /> PHONE <br /> <br />: ENGELMAN ELECTRIC INC <br />: 981-8841 <br /> <br />CONTRACTOR LICENSE: 24-46C <br /> <br />SI F V ELEC <br /> PHONE <br /> <br />: ENGELflAN WILLIAM K <br />: EflGELMAN WILLIAM K <br /> <br />SUPERVISOR LICENSE: 14~3S <br /> <br /> Pe'erwcel°~eeders up o -- a~ps <br />I State surcharge <br />I Refund <br /> <br /> Assessed fees 52.50 <br /> Adjustments .08 <br /> Total fees 52.58 <br />PAYEE: ENG~,MAN ELECTRIC INC l'otal payments: 52.50 <br /> Balanre due : .00 <br /> <br />THIS PER~IT IS NDI~TRANSFERABLE AND EXPIRES 188 DAYS FROM ISSUE DATE IF WORK HAS <br />HOT COHHENCED~ ,OR IF'-iCONSTRUCTION CEASES-FOR A PERIOD OF 18~ DAYS, OR IF #ORK <br />FAILS TO HEET ~LL REDUIREHENTS OF STATE LAUS ~d4D HARION COUNTY ORDIHANCES. UPON <br />WRITTEN REGUEST~ ~NE SIX HOHTH EXTENSION HAY BE GRP~TED. <br /> <br />SIGNATURE OF' APPLICANT: <br />::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: <br /> <br /> <br />