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DATE/TIME <br />TYPE <br /> <br />PAGE <br /> <br /> ELECTRICAL APPLICATION <br />06/10/99 1Z~51 ~ ACTIVITY NO <br />Resident. addition/alteration STATUS <br /> APPLIED <br /> I TO EXPIRE <br /> <br />99-04499 <br />APPEIEO <br />06/10/1999 <br />12/07/1999 <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 />PD FOR 20 CIR FOR REMODEL FAMRM/GARAGE BU99-4497 <br /> LOCATDR: 081W29C 03000 <br /> CITY: MARION COUNTY <br /> 10771 LEVERMAN RD SE AM <br /> <br />56463-000 <br /> <br />BALKEMA JAMES <br />P 0 BOX 1327 <br />AUMSVILLE. OR <br /> <br />749-1~97 <br /> <br />97325 <br /> <br />OWNER: BALKEMA JAMES <br />PHONE: 749-1197 <br /> <br />OCCB: <br /> <br />749-1197 <br /> <br />LICENSE: <br /> <br />SUPERVISOR LICENSE: <br /> <br />Units Description Fee <br />20 Branch circuits 107.00 <br />1 State surcharge 5.35 <br />1 Refund .00 <br /> <br /> Assessed fees 112.35 <br /> Adjustments .00 <br /> Total fees 112.35 <br /> PAYEE: BAEKEMA JAMES Total payments: 112.35 <br /> Balance due : .00 <br /> <br /> THIS IS NOT A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> AE[ NECESSARY INFORMATION~$ PROVIDED AND ~EES PAIJ$,BEFORE A PERMIT MAY BE ISSUED. <br /> <br /> DONALD E. W~ODLEY, MA~NCOUNTY BUILDING OFFICIAL BY CLYNCH <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:D0-4:30 Phone: (503)588-5147 24-hr Inspection Line: (503)373-~27 <br /> <br /> <br />