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MARION COUNTY BUILDING INSPECTION <br /> <br />FOR OFFICE USE ONLY <br />Received by: <br />Date: <br /> <br />08/05/93 <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all Sections, I through 5 <br /> <br />I. LOCATION OF INSTALLATION <br /> <br />Jo~A~s 13.02t_.EHELN RD. <br />city AURORA I C~o~ st <br /> <br />D:,~pt~ou REPLACE GENERATOR <br /> <br />PERMr/s AI~E NON.Tf(ANSFFJ{ABLE AND NON-~AB~ ~ <br />E~ ~ WO~ ~ NOT ST~TBD ~ 180 DAY$ OF ISSU~CE <br />OK ~ WO~ 15 SUSP~ FOK 1 gO DAYS, <br /> <br />comAcro <br /> <br /> P.O. BOX 925, ALBANY, OR 97321 <br /> PACIFIC TELECOM <br /> <br /> FOR eiSNER INSTALLATIONS <br /> <br />M~JJng Addm~l ~ Phone <br /> <br />City/State/Zip <br /> <br />The insmllarlca ~* being mad= o~ pmt~nF lowD which is n~t iht e~nded got sale, <br /> <br />Owners Signature <br /> <br />PLAN REVIEW SECTION <br /> <br /> We will pro¥ide plan review seryioe if you complete Section <br /> 5B and submk ~vo (2) sets of plans and specificatlon~ with <br /> this application. <br /> <br />This optional plan review program does not guspend the <br />required submission of lighting power calculations, plans, <br />and specifications when reqmrod by the Oregon Structural <br />Specialty Code, Chapter 53. <br /> <br /> 220 High S~rect NE <br /> Salem, Oxogon 97301- <br />Phone 588-$][4;/ <br /> Cod~-A-Pbonc: 588-7904 <br /> FAX: 588-7948 <br /> <br />MC 15-34 11/91 <br /> <br /> Bate: AU~ 0 6 1995 <br /> <br />4, ~E SC~D~E (~ct~ ~d cmcr to~ ~ Al ~ow) <br /> <br /> Number of Inactions p~ pemlt allow~ <br /> <br />A. <br /> R~d~flal <br /> Per <br /> Unit <br /> Semite laclude~: I[~ C~t (~ach) S~l <br /> 10ffi sq. k or l~s $85.00 4 <br /> <br /> L~ En~ $20,00 ~ 1 <br /> E~ M~8 Home or M~uht <br /> Dw~ug Se~m or ~¢~r $40,00 . <br /> <br /> ~1 m~ m 4~ rap, ~ $~.00 <br /> ~l m~ m~mp~ $100,~ , 2 <br /> <br /> ~m~a ~ $~,00 ~ 2 <br /> 20I m~ ~o ~ am~ $40.00 <br /> <br /> b} ~ f~ far br~ ~reut~ ~ <br /> <br /> ~, Mi~ceIlan~us (Service or Feeder Not Included) <br /> ~a~p ~gafi~ ~rcle $40,00 ~ 2 <br /> ~a~b h~ or'o*~e ~h~g $40.00 <br /> <br /> ~nel, ~ra6~ ~ ~s~n $40.00 2 <br /> <br /> (As req~rad by B~Idlng <br /> <br /> 5. FEES ':: <br /> <br /> ] <br /> B En~f~%ofi~eA~ f~rman~vinw ' <br /> C, ~vcsfigafionFe= C~ mqff~) <br /> ~TAL ~0~% DU~ S' 63. O0 <br /> R~ciM No, <br /> <br /> <br />