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I: <br /> <br />FOR CITY VA;.mAT[ON <br /> br.. <br /> <br /> MARION COUNTY <br />i BUILDING INSPECTION DIVISION <br />3150 LANCASTER DR NE - SUITE C <br />SALEM OREGON 97305~1398 <br /> <br />Office: Phone ~g8~147 ,,8:00am - 4~Opm <br />F~: 588-7948 <br /> <br />ELECTRICAL PERMIT APPLICATION <br />P/ease complete all Sections, I through <br /> <br /> -1 <br />PERMITS ARE NON-TRANSFF_I~dU~ AND ~ IF WORK I~ NOT <br />STARTED WIlItlN 1~0 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPEItDED FOR i~0 DAYS, <br /> <br />2A. CONTRACTOR INSTALLATION OIX~Y <br /> <br />Cona~a~or!s Board Peg No. <br /> <br />lob No. <br /> <br />[ Pho~// <br /> <br />Signature of Supcn, isi~ <br /> <br />Supe. rvisor's Liccas~ No. <br /> <br />liB. FOR OWNt~ INSTAIJ-&TIONS <br /> <br />3. PLAN RBVIEWSECTION <br /> <br />IMarion' ~.County does.not require ,a. plan review. <br />we Will:Providepl~ review s~'~i~ if yOU Complet~ <br />seclio" 5B and s. ubnilt two i2) sets ofph"h and <br />Sl:~cifie~tions'w~th ~-apPlicati°n. ', . <br /> <br />MC 15-341/96 <br /> <br />Date: <br /> <br />Issued by: <br /> <br />$35.~ 2 <br />I40~ 2 <br /> <br />S ZOO <br /> <br />$35.00 <br />$2.00 <br /> <br />~0.00 2 <br />$4O.0O 2 <br /> <br />~0.00 2 <br /> <br />$35.00 <br /> <br />$50.00 <br /> <br />,vq. fi. x $.068 = <br /> <br />N/C I <br /> <br /> <br />