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MARION COUNI f 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 />OCCUPAMCY <br /> <br /> ELECTRICAL PERNIT <br />= 1B/B6/97 14=36 PERNIT NO : 97-87?69 <br />: CoM~ercia! addition/alteration STATUS : ISSUED <br />: D ISSUED : 18/86/1997 <br /> TO EXPIRE : 84/84/1998 <br /> <br />WORK DESC : 4~AMP 2/lO,AMP FEEDER <br /> <br />..r,E ADDkESS : <br /> <br />CITY: MARION COUNTY <br /> <br />8724 GOLF CLUB RD SE AM <br /> <br />[lr((SS STREE] : HWY 22 <br />FARCEL NUMBER : <br /> <br />OWNER NAME : <br /> <br />AFFLICANT <br /> NAME: <br /> ADDRESS <br /> <br />SANTIAM G0t. F CLUB INC <br /> <br />GRISW8LD MARK S <br />2285~ .JENNIE RD <br /> <br /> LY=ONS~ OR 97,~ 5R <br />PNONE : 8.,9-2214 <br /> <br />[8NTRACT{:R : GRISWOLD MARK <br /> PHONE : 859'2214 <br /> <br />FIFCTRIC]AN : GRISWOLD ELECTRIC <br /> F'HONE : 859-2214 <br /> <br />!i;[!F'V ELEC : GRISWOLD MARK STERLING <br />PHONE : GRISWOLD MARK STERLING <br /> <br /> OCCB: 0062S86 <br />CONTRACTOR ~.~CENSE: 24-238C <br />SUPERVISOR LICENSE. J416S <br /> <br />Units DescriptiOn Fee <br />---~ Service/feeders ~,L~ to 20~ ~ps i~0.00 <br />1 Service feeders~ ~01-408 amps 60.00 <br />1 State surcharge 8.00 <br />1 Refund .00 <br /> <br /> Assessed fees : 168.00 <br /> AdjustMeDts : .00 <br /> Total fees : 168.00 <br />PAYEE: GRISWOLD MARl( S Total pax~ents: 168.08 <br /> Balance ~ue : .00 <br />********************************************************************************** <br /> <br />THIO PERHIT IS HOW-TRANSFERABLE AHD EXPIREO 188 OAYS FROM IOOUE DATE IF WORK HAS <br />NOT COHHEWCED, OR IF CONSTRUCTIOM CEASES FOR A PERIOD DF 188 DAYS, OR IF WORK <br />FALLS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY ORDINANCES. UPON <br />WRITTEH REQUEST, ONE SIX MQHTH ~XT~HBT~H H~¥ ~ [d~ANTED. <br /> <br />SIGNAF[RE OF APPLICANT: ...... <br />********************************************************************************** <br />DONOALD E WOODLEY, MARION COUNTY BIJILDINBG OFFICIAL / BY MBULL <br /> <br /> <br />