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FOR CITY VALIDATIONI <br />Received by: <br />D~te: <br /> <br />MA.,O. COUN. <br /> <br />SALEM OREGON 97305-1398 <br /> <br /> D~o: <br /> ~ h~ ~p~on L~e 37~27 <br /> O~ PhOne ~1~7 8:0~m - 4:30pm <br /> F~: ~79~ ISSU~ by: <br /> <br /> ELECTRICAL PERMIT APPLICATION <br /> P/ease complete all Sections, I through 5 <br /> I <br /> <br /> PE, RMIT~ A RE NON-TRANS~=E AND ~X~l~ l~ WOP. K ]/~ NOT <br /> wo~ ~ susv~ ~ ~ ~vs. <br /> <br />~. Co~OR ~~ON O~Y <br /> <br /> Pa~in El~tdc, Jnc, 202~ S Molalla Ave, <br /> Oregon CiF, OE 970~ ~3~57-4958 fax: 557-1059 <br /> Con~ctom Li~nse ~: 3~4C e~. 10~1-97 <br /> <br />ZB. F OR O V~NB~ INSTALLATIONS <br /> <br />Prop~ay Owner ~lea~ptiat) <br /> <br />Mailing A~d~s ] ~ <br /> <br />CitylStateJT~p <br /> <br />3. PLANR~VIBW SECTION <br /> <br />Marion County does not require a plan review. <br />We will provide piaa review service if you complete <br />Section 5B and subn~it two (2) sets of plato aad <br />specifications with this application. <br /> <br />MC 15.34 1/96 - <br /> <br />$5O.00 2 <br />$60.00 2 <br />$i00.00 2 <br />$130.00 2 <br />L~O0.O0 2 <br />$40.00 2 <br /> <br />$35.00 2 <br />$40.00 .2 <br />$80.00 2 <br /> <br />$ <br /> <br />b) T~e fee for brauch ciecui~ without <br /> <br />Fa'st branch <br />~ ad~ b~ ~im~t <br /> <br />~n~s ~ F~ N~ ~4~) <br /> <br />~ li~ oro~ U~ ' ~ 2 <br /> <br />~r ~ all~le <br /> <br />(~d ~y to ~1 ~o~) <br />0~ <br /> <br />A~ <br /> <br />$35.00 <br />$ 2.00 <br /> <br />NEES <br />Al. Enter tota[ of fees from Sec.//4 <br />A2. Add 5% su~hat~ (.05 <br /> <br />~ubtotal <br /> <br /> <br />