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0S, 04. 92 01:24 ?M *ENGLEMAN ELECTRIC <br /> <br />P01 <br /> <br />~R~lved by: j 220 High <br />'l D-.k: ....... Sa~m, Oregon <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br />T~ iM~llsti~n is ~'in& ms~ ~n p~ny I ~.Vn wh/d~ is n~ b~te.~l for sale. <br /> <br />S, P~AN RE%qEW SECrlON <br /> <br /> We will provide pla~ review ~vice if yo~ complo~ S~don <br /> 5B and submil ~o ~) ~ of phns ~ s~fions wi~ <br /> ~ appllc~ofl_ <br /> <br />TAiS Ol~onal plan review program rices nOt Sus~d ~c <br />~ui~ subm~sion of lighdng ~wor cdcul~Ions, pl~s, <br />and ~ifi~ons when ~u~ by ~e O~gon 5~ct~ <br />~ C~, ~ 53, <br /> <br />SITE #: - <br /> <br />Date: <br /> <br /> Issued by: ......... <br /> <br />4. FEE S~IPDI,.IL <br /> <br />A. <br /> Raided <br /> / <br /> Se~ke ~dud~: <br /> I~ ~q, fL ~ll ~.~ ,,, 4 <br /> ~ ~f S15-~ .... I <br /> <br /> ~ amp ~ <br /> <br />C, Teml~rary Set",'k~s/1~'e~ders <br /> <br /> ~cr ~ ~ps or t~ vol,~ <br /> <br /> b) ~ f~ for ~ ~rcuts ~ <br /> ~has~ ~f semite or feede~ fee <br /> <br /> ~ ba~h ~i~ <br /> <br /> E. Mlscdl~n~us (~rvlcc or Feeder N~ included) <br /> <br /> 5. FEES <br /> <br /> B, En~r~%of~A1 for ~ Review <br /> <br />TOTAL AMOUNT DUE <br /> <br />$40.00 <br /> <br />$35.00 <br /> <br />$40,00 <br />$40.00 <br /> <br />$40,00 ~ 2 <br /> <br /> <br />