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AGEX - 1447762
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AGEX - 1447762
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Last modified
2/8/2013 5:26:57 PM
Creation date
7/6/2004 10:06:03 AM
Metadata
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Template:
Permits
Permit Address
22105 BUTTEVILLE RD NE
Permit City
Aurora
Permit Number
555-96-03889
Parcel Number
041W08B 00800
Permit Type
AGEX
Permit Doc Type
Permit Document
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IFOR C1TY VALIDATION[ <br /> Received by: <br /> D~te: <br /> <br />MARION COUNTY BUILDING INSP]/CTION <br /> <br />COMMUNffY DEVELOPMENT CENTER <br />285 Church St NE · Room 132 <br /> Sale~, OR 97301 <br /> <br /> 24 hr, Inspection Line $73-4427 <br />Office: Phone 588-5147 8:00am - 4:30pm <br />FAX: S8~7948 <br /> <br />IELECTRICAL PERMff APPLICATION <br />Please complete all Sections, I through <br /> <br />1. LOCATION OF HqSTALLATION <br /> <br />P~RMITS AR~ NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT <br />STARTf~ WITHIN 180 DAYS OF ISSUANCF. OR IF <br /> WORK IS SUSPEHDED FOR 1~0 DAYS. <br /> <br />2A. CONTRACTOR ~N~TALLATION ONLY <br /> <br />El~Ulcal Contractor [ Phone <br /> <br />Mailing Address <br /> <br />r 8up~,isor's License No. I Phone <br /> <br />2B. FOR OWN'ER INSTALLATIONS <br /> <br />3. PLANREVIBW SECTION <br /> <br />IMariou County does not require a Plan review. <br /> We will provide plan review service if you complete <br /> Section 5B and submit two (2) sets of plans and <br /> specifications with this application. <br /> <br /> MC 15-341/96 <br /> <br />PERMIT NO: <br /> <br />Dat~ <br /> <br />Issued by: <br /> <br />4. i~B SCHBDULH (Completo and enter ~1 h Al be~w) <br /> N~b~ of ~t~m ~ ~it albw~ ~ <br /> R~d~t~l <br /> Unit <br /> ~ Include: It~ C~t (~h) S~ t <br />I~ sq. ~ ~ 1~ $85.~ 4 <br /> <br /> ~ ~ &~f $15.~ <br /> <br />~ch ~ufacm~ H~e or M~ <br />~elli~ ~ice or Fe~ ~.~ 2 <br /> <br />B. ~ ~ F~s ~a ~t ~o1~ ~h ei~ui~ s~ a~n D) <br /> <br /> ~1 ~ to ~ am~ ~.~ 2 <br /> ~1~ $1~.~ ,2 <br /> ~1 ~ ~ 1~ ~ $1~.~ 2 <br /> ~ l~ ~ or vol~ ~.~ 2 <br /> R~t only ~ 2 <br /> <br />C. T~y <br /> <br /> ~ ~ ~ 1~ $35.~ <br /> <br /> ~1 ~ to ~ ~ $~,~ 2 <br /> ~er ~ ~ps or 1~ ~1~ <br /> <br />D. Bran~ <br />n) ~e f~ for b~eh e~m ~ <br />~ b~n~ ~uit $ ~ <br /> <br />b) The fee for branch citouitm without <br /> · <br />Ftr~t b~mch clrouit <br />~ach a~difion~ braach <br /> <br />$35.~ <br />$2.00 <br /> <br />E. Mia~llane~ms (~'vie~ ~' Feed~ N~t Included) <br />~ pump ~ ~8aC~ ~imb ~ ,2 <br />~ch si~ or ou~e H~thg ~.~ 2 <br />Si~ c~ui~s) or n l~it~ en~ <br />p~e{, alt~ti~ or cx~ ~.~ 2 <br />F. ~ a~it~nal <br />~rt~ allowable in ~y ~e <br />n~, ~r ~pa~n $35.~ <br />fi. M~ In~l~t~n ~bela <br />P~k of 10 la~l~ ~ $5.~ ~ch $~.~ <br />(~d oMy to el~i~ l c~rscto~) <br /> <br /> (~ ~ired by ~ildi~ 0~1) <br /> A~ ~elli~ ~ec~aal Fe~ __sq, fl. x $, 068 ~ <br /> ~g ~it ~bet ~ of ~h, <br /> <br /> <br />
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