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Re~xiv~ by: ..... ] <br /> <br /> MARION COUNTY <br />!BUILDING INSPECTION DIVISION <br />3150 LANCASTER DR NE - SUITE C <br />SALEM OREGON 97305-1398 <br /> <br /> ELECTRICAL PERMIT APPLICATION <br />· P/ease completeall Sections, I through <br /> <br /> 1. LOCATION OF INSTALLATION <br />[,obAddr~ ~ ~ <br /> <br />Pnl..L.- <br /> <br /> 2A. CONTP, AC"rORIN~TALLATION ONLY <br />IElcctrlchI Contractor ~ <br /> <br />2.B. F OR OW'N]~ INSTAI.LATIONS <br /> <br />Mailing .~dd~ss <br /> <br />$35.00. <br /> <br />i~r 1o i~1~]~'S$.oo c~ch S50.oo <br /> , ~o ~l~r-.tdcal contc.~e,.torO <br /> <br /> "': ' ~¢.fl. x $.068 <br />i df f~t~ls <br /> <br /> <br />