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M3~qION COUNTY BU~.LDING INSPECTION <br /> ELECTRICA/~ SECTION <br /> 220 SIGU ST NE SECOND FLOOR <br /> S ~LEM OR 97301 <br /> PHONE: 588-5147 <br /> <br /> ~QUES~ F~ECTRIC~ ~NSP~C~ION <br /> <br />I NST.LATION <br />~DRESS: ~O~A ~DRESS: <br /> <br />MARION COUNTY <br />BUILDING INSPECTION <br /> <br />WIRING INSTALLER: <br /> <br />TYPE OF STRUCTURE: <br /> <br />TYPE OF BUILDING USE: <br /> <br />I UNDERSTAND T~AT T~E SPECIAL INSPEC~I~Z]' F~V~ IS $40/~LR PORTAL-TO- <br />PORTAL, (~NIMUM O~ ~OUR), ~ PRIOR ~ T[~ ~LEASE OF T~E <br />INSPECTION ~PO~T. O~ 8~-~(~ . <br />SIGNATURE OWNER/SUPERVISOR: ~~ <br /> <br />AN INSPECT%ON OF T~E ELECTRICAL EQU%P~NT INSTALLED AT THE <br />PZ~ISE$ N~ED ZtE~ZN RE~ED T~ FO~WING LISTED DEFECTS ~ICH <br />~g TO BE CO~CTED ~THZN DAYS FROM T~E INSPECTION <br />DATE+ PLE~ C~L 588-5147 FOR INSPECTION. <br /> <br />Wiring Method Used: <br /> <br />Nonmetallic Armored <br />Sheathed cable ( ) Cable ( ) Conduit ( ) <br /> <br />LOCATION SAFETY DEFECTS CODE REFERENCE DONE <br /> <br />INSPECTION DATE: <br />TIME IN: <br /> <br />TIME OUT: <br />TIME ON-SITE: <br />TRAVEL TIME: <br /> <br />TOTAL FEE: <br />CHECK $: <br />RECEIPT ~: <br /> <br />TOTAL TIME: <br /> <br />SIGNATURE ELECTEICAL INSPECTOR: <br /> <br />JOBN CBRISTENSEN #412 <br /> <br />INQUIRIES SHOULD BE DIRECTED TO T~IS OFFICE. PLEASE NOTIFY DS <br />~EN CORRECTIONS ARE C0MPLSTED. THANK YOU. <br /> <br /> <br />