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FOR CITY VALIDATION[ <br />Rebelwd by: [ <br />Date: [ <br /> <br />MARION COUNTY <br />BUILDING INSPECTION DIVISION <br />3150 LANCASTER DR NE - SUITE C <br />SALEM OREGON 97305-1398 <br /> <br /> 24 hr. lmpeelton:ilne 3734427 <br />Office: Phone 588-51~17 ~,8:00am - 4:30pm <br />FAX.: ~g8-7948 <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all ~ections, I tl~rough <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />ARE NON-TEANSFERA~[~ AND E~G'E~E <br />~ ~ 1~ DAYS OF ISSU~ OR <br /> WO~ ~ SU$~ FOR I~ DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />Job No. <br /> <br /> 3. PLAN PLB¥ ~ HW:SBC'TION <br /> <br /> lmrion'~untyldoes.not r~ui~ ~ p~n r~view. <br /> we willprovkiepl~ r%i~W Ser~i~ if youcomv~ <br /> .SeStionsB and s. ub~t two i2) iets ofph~-':and <br />{ sPeCifl~dfions'with :~i.hPplicafion. <br /> <br />MC I5-$4 1/96 -- <br /> <br />Date: <br /> <br />Issued by: <br /> <br /> <br />