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DATE/TIME <br />TYPE <br /> <br />PAGE <br /> <br />05/28/99 16:19 <br />New Residential <br /> <br /> 1 <br /> <br />ELECTRICAL APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> APPLIED <br /> TO EXPIRE <br /> <br />99-04158 <br />APPLIED <br />05/28/1999 <br />11/24/1999 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> PHONE <br /> <br />CONTRACTOR <br />PHONE <br /> <br />ELECTRICIAN <br />PHONE <br /> <br />SUPV ELEC <br />PHONE <br /> <br />MFG RES SER <br /> <br /> 9117 STAYTON RD SE AM <br />R3561-6 <br /> <br />GLIDEWELL KEVIN <br />13168 N SANTIAM LN <br />AUMSVILLE OREGON 97325 <br /> <br />769-7010 <br /> <br />769-7010 <br /> <br />LOCATOR: <br /> CITY: AM <br /> <br />OWNER: GLIDEWELL KEVIN <br />PHONE: 769-7010 <br /> <br />OCCB: <br /> <br />LICENSE: <br /> <br />SUPERVISOR LICENSE: <br /> <br />Units Description Fee <br />1 Manf dwelling service/feed 52,00 <br />1 State surcharge 2,60 <br />1 Refund .00 <br /> <br /> Assessed fees 54.60 <br /> Adjustments . O0 <br /> Total fees 54.60 <br />PAYEE: GLIDEWELL KEVIN Total payments: 54.60 <br /> Balance due : .00 <br /> <br />THIS IS NOT A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE TF~qT <br />ALL NECESSARY INFORMATION IS PROVIDED AND FEES PAID BEFORE A PERMIT MAY BE ISSUED. <br /> <br /> SIGNATURE DF APPLICANT: <br /> <br /> DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL BY PMUNRO <br /> <br />CALL BEFORE YOU DIG.,.IT'S THE LAW. Oregon law requires you to follow the rules adopted by <br />the Oregon Utility Notification Center, 503-232-1987. <br /> <br /> Marion County Building Inspection <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 /> <br />