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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 /> ELECTRICAL APPLICATION <br />DATE/TIHE = 02/~2/98 16=27 ACTIVITY HO <br />TYPE : Resident. addition/eiteration STATUS = APPLIED <br />OCCUPAHCY = R-3 ~='PLI[9 = ~2/02/1978 <br />PAr. E = t TO EXPIRE <br /> <br />WORK DESC : 3 CIRCIJITS/ BIJ98-80835-AO~N <br /> <br />S~TF ADDRFSS <br /> <br />22~58 BOONES FERRY RD NE AR <br /> <br />TAX ACCOUNT : 483?8-008 <br />OWNER : SHROCK, MICHAEL <br />APPLICANT ~ SNROCK~MIKE <br />ADDRESS 22058 BOONES FERRY RD NE <br /> AORORA~ OR <br /> 97882 <br /> PHONE : 678-2187 <br /> <br />CONTRACTOR : SHROCK, M[EE OCCB: <br /> PHONE : 678-2187 <br /> <br />E!.ECTRICIAN : CONTRACTOR LICENSE: <br /> PHONE : <br /> <br />CITY: MARION COUNTY <br /> <br />SIIPV EI.FC : SUPERVISOR LICENSE: <br />PHONE : <br /> <br /> IJnits Oescription Fee <br /> 3 Branch circuzts <br /> 1 State surcharge 1.95 <br /> i R~ fund . <br /> <br />Assessed fees : <br /> <br />48.95 <br /> <br /> AdjustMents : .08 <br /> Total fees : 48.95 <br />PAYEE= SHROCK~MIKF Total p~yments: 48.95 <br /> B~l~nce due : .08 <br /> <br />THIS IS HOT A PERH~T. IT IS THE RESPOHSIBILITY OF THE APPLICANT TO ASSURE THaT <br /> <br /> l!'iNA'rO E OF Am CANT, /A- <br />OONAL~ E. WOODL. EY~ MARION COONTY BUILOING OFFICIAL BY MHEYER <br /> <br /> <br />