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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 /> ELECTRICN_ PERNIT <br />DATE/TINE = ]B/31/97 I2=18 PERNIT HO : 97-BS68B <br />TYPE = Resident. addition~alteration STATUS = ISSUED <br />OCCUPANCY : R-3 ISSUED = 18/31/1797 <br /> TO EXPIRE = 84/29/1998 <br /> <br />WORK DESC : PD FOR 1 CIR FOR FURH <br /> <br />SITE ADDRESS : <br /> <br />CITY: MARION COUNTY <br /> <br />9313 GOLF CLUB RD SE AM <br /> <br />CROSS STREET : SHAFF RD <br /> <br />PARCEL. NUMBER : 60439-080 <br /> <br />OWNER NAME : <br /> <br />APPLICANT <br /> NAME : <br /> ADI)RESS : <br /> <br />MCCLACHIE GLEN <br /> <br />PACIFIC COAST ELECTRIC INC <br />1425 E. SANTIAM STREET <br /> <br /> STAYTON, OR 97383 <br />PHONE : 769-7671 <br /> <br />CONTRACTOR : PACIEIC COAST ELECTRIC INC <br /> PHONE : 7~9-7671 <br /> <br />ELECTRICIAN : PACIFIC COAST ELECTRIC INC <br /> PHONE : 7~9-7671 <br /> <br />SUPV ELEC : GILLETTE ROBIN ALLEN <br />PHONE : GILLETTE ROBIN ALLEN <br /> <br />OCCB: 8845933 <br /> <br />CONTRACTOR LICENSE: 24-192C <br /> <br />SUPERVISOR LICENSE: 3653S <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 .00 <br /> Total fees 36.75 <br />PAYEE: PACIFIC COAST ELECTRIC INC 'Total paxments: 3&.75 <br /> Balance ~ue : .00 <br />********************************************************************************** <br /> <br />THIS PERMIT IS HON-TRANSFERASLE AND EXPIRES 188 D~YS FRON ISSUE OATE IF NORK HAS <br />NOT CSIglEHCED~ OR IF COHSTRUCTIOH CEASES FOR A PERIOD OF 18~ DAYS~ OR IF ~ORK <br />FAILS TD HEET ALL REDUIREI~ENTS OF STATE LA~S AND NARIUH COUHTY ORDIHAHCES. UPSH <br />#RITTEN REQLIEST~ ONE SIX HOHTH EXTEHSIOH NAY BE GRAHTED. <br /> <br />SIGNATURE O~ APPLICANT: <br /> <br />DONDALD E WOODLEY, MARION COUNTY BUILD1NBG OFFICIAL / BY CLYNCH I ~ <br /> <br /> <br />