Laserfiche WebLink
CITY VALmATION[ <br /> <br /> MARION COUNTY <br />', !BUILDING INSPECTION DIVISION <br /> 3150 LANCASTER DR NE - SUITE C <br /> SALEM OREGON 97305-1398 <br /> <br />F.4~:' ~8-7~18' <br /> <br />ELECTRICAL PERMIT APPLICATION' <br />Please complete ail Sections, I through <br /> <br />L LOCATZON O]~ m~.L~ON <br /> <br />START~ ~ IgO DAYS OF ISSUA~C~E OR <br /> WORK I~ SUSPENDE~ FOR I ~0 DAYS. <br /> <br />:lA. CONTRACTOR EN~TALLATION ONLY <br /> <br />i¥~m~ <br /> <br />3~. PL~N'iR]EVmW':S I~GTION <br /> <br />j 'W~tWhi;P~ovid~!~'~.~ ~i~. ifyougomPlm <br />L. Sdo0~ .~d:sUb~i~ ~o (~ s~ts of p~ ~md <br />[ spe-czfic~ons w~thflfis.~p'phc~don. <br /> <br />PERMIT NO"-'. <br />Issued by: ~'~___.~ _ <br /> <br />t. .; ?}~:..':' N~of~ ~tt allowed <br /> <br />~ id~n~:~q~ f~ <br /> <br />'~M~ fac~ H~c or ~ <br /> <br />~...~,=-. '/ <br /> <br /> , :, ~'i~ ~, or vol~ <br /> :~o~y ~.~, <br /> <br />c. <br /> <br /> .:, a) ~'f~c f~ ~ch c~m ~' ' <br /> ;::~ ~d.'?:'.',:' ' ' <br /> <br />:. '. '~ch',i~ or OU~C U~t~g ~.~ <br /> <br />~-:~ :I ~ l; :~ir 8~i~r'~T~ S~. ~ · <br />~,:4.;9.~).~.~';,,>-.'-~ :<..: · <br /> <br /> '. ; : <br /> <br /> <br />