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IFOR. CITY VALIDATION] <br /> Dale:. ' ' I <br /> <br /> MARION COUNTY <br />[BUILDING INSPECTION DIVISION <br />3150 LANCASTER DR NE - SUITE C <br />SALEM OREGON 97305-1398 <br /> <br /> Office. ph;~fie:~i~7. ~:O0im .: 4:30pm <br /> ' FA.X.;'5;88-'Jg,{S ' <br /> <br />ELECTRICAL PERMIT APPLICATION ] <br />P/ease complete.ali ~ectlons, I through 5:1] <br /> <br />PERMIT NOT <br />Issued by: <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />pim~ai-rs A~ t~ON- .. ~133~'~. ~-g~t-s ~ D:]'m~ L,' woPac ~s NOT <br />STA~'F~3 ~ la) pAYS OF ]$SUAI'~C~ OR a~ <br /> WORK ]~ SUSPEI~DED FOR 180 DAYS. <br /> <br />2A. COI~'TR. ACTOR'IN~TALLATION ONLY <br />Elcca'ic~l ConL~actor ~ <br /> <br />POP. O WlqI~L H~b'TALL~TI O NS <br /> <br />P~opedy ~ ~l~ g~) , <br /> <br />~ tO ~16dulct I cotV. ra¢ton) <br /> <br />· O~cit0 __ <br /> '.:..W. fl.x$.068. <br /> <br /> <br />