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03/10/1994 OB:i~ <br /> <br />5037GB6284 CRAWFORD ELECTRIC PAGE 02 ' <br />MARION COUNTY BUll,DING INSPI~TIO~ JUN~5~' 1997 ~ <br />COM~Y D~VELOPMENT CE~R <br /> <br />285 Church St NE · ~oom 132 <br />Sdem, OR 97301 <br /> <br />[ELEG'TFIIOAL ~aERMIT A{~PLICA'fION <br />Pl?e complete ~1 ~a~lfa~s, ! through 5 [ <br /> <br /> L LO~A~ION OP INB~ALLAT~ON <br /> ~,,~,~ 4 1.3'4, ~ ...... <br /> <br /> Cr~ ~; <br /> <br />) - _ :, ~-~.~ . <br /> F ~..' . <br /> <br /> ST~ ~ I~ DAYS OF ISSU~ OR IF <br /> <br /> ~ c~.~ ~ ~ ~lw~/~t,'~ <br /> <br /> _ , ~ . [ , <br /> <br />FOR O~ INSTALLATIONS <br />I~i~y Omar (~J~ prim) <br />M~iling Addr~a } ~ <br /> <br /> 3, PLANI~ SBCT/ON <br /> <br />t' Mad'on County'dom not ~,i,.ir. a pi~l r~'view.' <br /> <br /> We will provide plan review e~i~:~ i£you complete <br /> Secdon 5B ~ submit ~o (2) ~ ofphm ~d <br /> s~ctfica~ wl~ ~is app~ica~on. <br /> <br /> MC 15,34 I~ <br /> <br /> ~ to~ ~ _ $~ ,2 <br /> <br />~1 ~to l~ ~ ~1~.~ 2 <br /> amps ~ volts ~,~ ~ 2 <br /> <br />$35.00 2 <br />$4O.O0 _ 2 <br />$80.00 . .2 <br /> <br />$ 2,00 <br /> <br />x?, .Ii. x $.O(v'; = <br /> <br /> Al) <br /> <br /> for Plan Review <br /> <br />TOTAl, AMOUNT DUi~ <br /> <br /> <br />