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DATE/TIME 06/09/99 i5:43 <br />TYPE Resident, addition/alteration <br />PAGE 1 <br /> <br />ELECTRICAL PERMIT <br /> PERMIT NO <br /> STATUS <br /> ISSUED <br /> TO EXPIRE <br /> <br />99-04476 <br />ISSUED <br />06/09/1999 <br />12/06/1999 <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />TAX ACCOUNT <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 />: PD FOR 2 CIR FOR A C <br />625 4TH ST AM <br /> <br /> 90070-060 <br /> NORTHSIDE ELECTRIC <br /> PO BOX 12323 <br /> <br /> SALEM. OR <br />: 585-4879 <br /> <br />: NORTHSIDE ELECTRIC <br />: 585-4879 <br /> <br />: NORTHSIDE ELECTRIC INC <br />: 585-5723 <br /> <br />: MARTIN KEVIN SCOTT <br />: MARTIN KEVIN SCOTT <br /> <br />97309 <br /> <br />LOCA[OR: 082N25UAO12DO <br />CITY: AUMSVILLE <br /> <br />DWNER: SMITH,BEVY L <br />PHONE: <br /> <br />OCCB: 0080593 <br /> <br />LICENSE: 24-14C <br /> <br />SUPERVISOR LICENSE: 4399S <br /> <br />Units Description Fee <br />2 Branch circuits 53,00 <br />1 State surcharge 2.65 <br />1 Refund .00 <br /> <br /> Assessed fees 55.65 <br /> Adjustments .00 <br /> Total fees 55.65 <br /> PAYEE: NORTHSIDE ELECTRIC Total payments: 55.65 <br /> Balance due : ,00 <br /> <br /> THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUE DATE IF WORK HAS <br /> NOT COMMENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF WORK <br /> FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY OJ~D_INANCES. UPON <br /> WRI~EN REQUEST. ONE SIN MONTH EXTENSION MAY BE GRANTED. <br /> SIGNATURE OF APPLICANT: <br /> <br /> DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY CLYNCH <br /> CALL BEFORE YOU DIG.,.IT'S THE LAW, Oregon law requires you to follow <br /> rules adopted by the Oregon Utility Notification Center, Those rules are set <br /> forth in OAR 952-001-0010 through 952-001-0090. You may obtain copies of the <br /> rules by calling the center. (Note: The telephone number for the Oregon <br /> Utility Notification Center is (502) 232-19B7). <br /> <br /> Marion County Building Inspection <br /> 31BO Lancaster Drl N.E., Suite C Salem, Oregon 97305-1298 <br />Office Hours: 8:00-4:30 Phone: (503)588-5147 24-hr Inspection Line: (503)373.4427 <br /> <br /> <br />