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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 />DATE/TIME <br />TYPE <br />OCCUPANCY <br /> <br /> ELECTRICAL. PERMIT <br />: 11/28/77 1~:~7 <br />: Resident. addition/alteration <br />: U-1 <br /> <br />PERMIT NO : 97-8?258 <br />STATUS : ISSUED <br />ISSUED : I!/2~/1797 <br />TO EXPIRE : B5/19/1978 <br /> <br />,.!i (i~ DTSC : 200 AMP SERV/20 BRANCH CIRCUZT!~, REF: 96-0040B <br /> <br />· S:['¥E: Al)DRESS : <br /> 21407 OAK LN NE AR <br /> <br />CITY: MARION COUNTY <br /> <br />CR~SS STREET : EHIEN RO <br /> <br />~-'ARCi].. NiiHBER : 40682-800 <br /> <br />~)W,~E R WANE <br /> <br /> NAIVE <br /> ADDE'ESS <br /> <br /> PH0i,!~ <br /> <br />: VANLIEU~RGGER W & BAR~ARA E <br /> <br />: ENGELMAN EI_ECTRIC <br />: PO BOX 451 <br /> <br /> HUBBARD~ OR 97~ <br />: 98:1-884I <br /> <br />PHOI,iI~ <br /> <br />Fi~C[R[CIAN <br /> <br />: ENC~ELMAN ELECTRIC THC <br /> <br />ENGEL.MAN E1,ECI'RIC iNC <br />981-804I <br /> <br />: EN6EI.flAN WILLIAM K <br />: ENGELMAN WILLIAM K <br /> <br /> OCCB: <br />CONTRACTOR LICENSE: 24-46(; <br />SUPERV];SOR LICENSE: ];453S <br /> <br />70 Brsnch c :Lr(:u'~'l:s 40. <br />]. Sta~e surchaFge <br />~ R~fund ,, <br /> <br /> A!!,~.~ssed fees 94.50 <br /> Ad jus~ me~'~ts ,, 00 <br /> Ti['at fees 94.50 <br />PAYEE: EN!;~].MAN E,.~.C, RI NC 'fo~:al pay~,~ents: ~4, 5~ <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIR~ 188 BAY8 ~ROH ISBU~ ~AT~ ~ WO~K WA~ <br />NOT COMMENCEB, OR IF CONSTRUCTION E ' <br />WRITTEN REQUEST, ONE SIX MONTH EXTENSION MAY BE GRANTED. <br /> <br />ST~pA'~URE ~F APPLICANT: <br /> <br /> 'lVV <br /> <br /> <br />