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DATE: <br />OFFICE: <br />UGE: <br />CONST: <br />OCC: <br /> <br />Marion County Building Inspection <br />555 Court St. N.E., Room 2260, PO Box 14500 Salem, Oregon 97309-5036 <br />Office Hours: 8:00-4:30 Phone: (503)588-5147 Inspection Line: (503)373-4427 <br /> <br />ELECTRICAL PERMIT <br /> <br />TYPE: ACOM ACTIVITY NO: <br />USE: C STATUS: <br />MAp: ISSUED: <br />ZONE: IL TO EXPIRE: <br />SITE: <br /> <br />99-00244 <br />FINAL <br />06/29/2000 <br />12/26/2000 <br /> <br />WORK DESC: <br /> <br />SITE ADDRESS: <br />PARCEL: <br /> <br />APPLICANT: <br /> ADDRESS: <br /> <br /> PHONE: <br /> <br />PARCEL OWNER: <br /> ADDRESS: <br /> <br /> PHONE: <br /> <br />CONTP~CTOR: <br /> PHONE: <br /> <br />ELECTRICIAN: <br /> PHONE: <br /> <br />SUPV ELEC: <br />PHONE: <br /> <br />LABELS: <br /> <br />1999 MASTER ELECTRICAL PERMIT <br /> <br />945 OLNEY ST AM <br />082W25A 00500 <br /> <br />SHETLER/BLAZER INDUSTRIES <br />PO BOX 489 <br />AUMSVILLE OR 97325 <br />749-1900 <br /> <br />SEETLER/BLAZER INDUSTRIES <br />PO BOX 489 <br />AUMSVILLE, OR 97325 <br />749-1900 <br /> <br />?? <br /> <br />OCCB: <br />FAX: <br /> <br />LICENSE: <br /> <br />LICENSE: <br /> <br />Units <br /> <br />Description Fee <br /> <br />Wiring Based on sq ft $0.00 <br />Limited Energy $0.00 <br />MANF SVC/Peed $0.00 <br />Service/Feed 200 a~ $0.00 <br />Service/Feed 201-400 amp $0.00 <br />Service/Feed 401-600 amp $0.00 <br />Service/Feed 601-1000 $0.00 <br />S/F 1001 amps/volts & up $0.00 <br />Reconnect Only $0.00 <br />Temp s/f 200 amps $0.00 <br />Temp s/f 201-400 amps $0,00 <br />Temp s/f 401-600 amps $0.00 <br />Temp s/f 601-1000 amps $0.00 <br />Temp s/f 100 amp/volt up $0,00 <br />Branch Circuits $0.00 <br />Pump or Irrig Circle $0,00 <br />Sign or Outline Lights $0.00 <br />0 Additional Circuits ?? <br /> <br />Units Description <br /> Signal Circuits/LEP's <br /> Additional Inspection Hfs <br /> Overtime Inspection Hrs <br /> Reinspection Fee <br /> Label Fee <br /> Master Permit <br /> Plan Review <br /> Additional Plan Review <br /> Investigation Fee <br /> Other Fee <br /> MiscfCopy Fee <br /> State Surcharges <br /> Refund <br /> <br /> Total Fees: <br /> Total Payments: <br /> Balance Due: <br /> <br /> Fee <br /> $0.00 <br /> $0.00 <br /> $0.00 <br /> $0,00 <br /> ?? <br />$406.25 <br /> $0.00 <br /> $0.00 <br /> $0.00 <br /> $0.00 <br /> ?? <br /> $20.31 <br /> $0.00 <br /> <br />$426.56 <br />$426.56 <br /> $0.00 <br /> <br />PERMIT IS NON-T~ANSFE~ABLE AND EXPIRES 180 DAYS FROM ISSUE DATE IF WORK HAS NOT COMMENCED, OR IF CONSTRUCTION <br />CEASES FOR A PERIOD OF 180 DAYS, OR IF WORK FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY <br />ORDINANCES. UPON WRITTEN REQUEST, ONE SIX MONTH EXTENSION MAY BE GRANTED. <br /> <br />[ ] I am the SUPERVISING ELECTRICIAN. <br />( ] I a~ the PROPERTY OWNER and own, reside in, Or will reside in the completed structure and will be my own <br />general contractor, t understand that I must register as a construction contractor if the structure is sold or <br />offered for sale before or upon completion. If I hire subcontractors, I will hire only subcontractors registered <br />with the Construction Contractors Board. If I change my mind and do hire a general contractor who is registered <br />with the Construction Contractors Board, I will immediately notify Marion County of the name of the contractor. <br /> <br />SIGNATURE: X <br /> <br /> <br />