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Feb-20-97 10=Z3A CITY OF AURORA 503-678-2758 P.01 <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DI=VELOPMENT CI~NTllP. <br /> 2U Church $1NIi - Room 132 <br /> $flenl, OR 97301 <br /> <br />14 hn Inspcetien Line Y/3-N2T <br /> Phone ~8X4147 #:OQam - 4:30pm <br /> FAX.' .~8-'/~ <br /> <br />Date: <br /> <br />Issued by: <br /> <br />IELECTRICAL PERMIT APPLICATION <br />Please complete all ,~tlone, I through <br /> <br /> L LOCATION O1~ INSTALLATION <br /> <br /> .: > &lLx._ttt_ <br /> .o.. - <br /> <br />PERMITS ARE NON-TRANSPERARI.~ AND EXPIRE IF WORK IS NOT <br />$TA RTBD WITHIN I iD DAYS OP ISSUANCE OR IF <br /> WOrK IS $ USi~ENDED I.'OR 1 ~0 DAYS. <br /> <br />2B. FOR OWNgR INSTALLATIONS <br /> <br />P'm l~n y O,~,r On~a ~ ,0,6:C <br />lgailln~ Add.ss I' <br /> <br />City/~m~2ip <br /> <br />POSt-it' Fax Nole 7671 <br />Co./Dept Co. <br /> <br />4. ]1]~]1 $CI'HIDUI,,il (Ct'~"~ptot,~ .tad ontgr total in Al below) <br /> per <br /> <br />$50.0O <br />S~).~ 2 <br /> <br />$40.00 2 <br />S~.00 2 <br /> <br />S 2.tX) <br /> <br />$35.(Xl <br />$ 2.(MI <br /> <br />S40.{X) 2 <br />SiD,oo 2 <br /> <br />$4{IJX} -- 2 <br /> <br /># of I~h .bl/.C' <br /> <br /> ~..bxolal <br />TOTAL AMOUNT DUE <br /> <br />S <br />S <br />S <br /> <br /> <br />