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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 />D~TE/TIHE <br />TYPE <br />8CCUP~ICY <br /> <br /> EL ECTRIC~L PE~HIT <br />: S2/D3/?S t6:lB <br />: Resident. add/tion/alteration <br />-- R-3 <br /> <br />PERHIT NO : 98-~816 <br />STATUS : ISSUED <br />ISSUED : B2/~/1798 <br />TO EXPIRE = B8/S2/1998 <br />PAGE I <br /> <br />WORK ~C ..... ;-~'CTR ................................... <br />SSTE A~RESS : CITY: NARION COUNTY <br /> 5828 SHAW HY SE AN <br /> <br />TAX ACCOUNT : <br />OWNER : <br />APPLICANT : <br /> <br />56e54-00~ <br />BENTZ KENNETH D & JANET F <br /> <br />PHOHE : <br />CONTRACTOR : PACIFIC COAST ELECTRIC INC OCCB: BB45933 <br />PHONE : 769-767~ <br /> <br />EI.~CTRICIAH : PACIFIC COAST ELECTRIC INC CONTRACTOR LICENSE: 24-172C <br /> PHONE : 767-7671 <br /> <br />S!JPV EI.EC : GILLETTE ROBIN ALLEN SIJPERVISOR LICENSE: 3653S <br />PHONE : GILLETTE ROBIN ALLEN <br /> <br /> IJnit~ Oescrtption Fee <br /> ~ranch circu[ts <br /> I s~ate surcharge <br /> I Refund <br /> <br />37.00 <br /> 1.85 <br /> <br /> Assessed fees : 38.85 <br /> Adjustments : .00 <br /> Total fees : 38.85 <br />PAYEE: Total payments: ~8.85 <br /> Balance ~ue : .00 <br /> <br />~S PERMIT IS HOH-TRAI~FERABLE AND EXPIRES 18~ D~YS FROH ISSUE DATE IF WORK HAS <br />CBHHEH~ED~ ORIF CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF #ORK <br />F~ILS TO HEET ALL REgUIREHE#TS OF STATE LABS NJD flARIS~ C~UNTY ORDIH~NCES. UPON <br />~ITTEH REg~E~T~ OHE SiX I~HTH EXTENSION HAY BE gRANTED. <br /> <br />SIGNATURE DF APPLICANT: <br /> <br />DON~ALD E WOODLEY~ MARION COUNTY BUILDINBG OFFICIAL / BY KLOAR <br /> <br /> <br />