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~. !BUILDING.INSPECTION DIVISIC~N ~ ..~ <br />;FC)' P'" CITY YALIDATI ON by: ...... , 31 5 0 LANCASTE'"~F~mJ~'~I'I~ITE C : '! <br />j Rec~wd I SALEM OREGON . PERMIT N '~... <br /> <br />'~'''; , ' ,' ." I ,.,,,~',~,~ '.. D,,~: ;. ,.,,, <br /> <br /> om~ ~,~,M~MU~[t,~:~]~R~ob= Issued by: <br /> su~i~fFicr,'0N <br /> ELECTRICAL PERMIT APPLICATION I <br /> Please comp~ete all Sections, I through 5:;] <br /> <br />ipF_m,a.m ^ pj~ ~o~....~.. s ,F~J~mL~ ~.~tO DCet~j~ n= WO~.X iS Z~O <br />sr^r~ wrtlm4 {m DAYS OF [ssu~tcn o[ <br />wot~.K Is SUSPEND~ FO~ ~S0 DAYS. <br /> <br />2A. CONTIb~CTOKIN~TALLATION ONLY <br /> <br />2B. FOR OWNER II',ISTALLATIONS <br /> <br />dity/st~t~z~l, <br /> <br />'W~ .Wiil:OBvidi)~l~ '~Vi~.~id~' if you' complete <br /> <br />s~e~fic~hons with lh~s n~¢licnhnnm <br /> <br /> <br />