Laserfiche WebLink
1, LOCATION OFINSTALLATION <br /> <br /> Panel ID: <br /> <br /> /Of_-. <br /> <br />Is NOTsTAR~D ~/t~HIN18O DAI~ OF'I, ggUANC~ OR IIr <br /> <br />~PORTL~: ELECTRICAL CONST. <br />M'"i"s~: 1 019 7th Streeet <br />~:OREGON CITY s~ OR ~P:97045 <br /> 503 ) 65512'281" <br /> (-503) 655-5033 ' <br /> ~ ~ No.: 51765 <br /> ~~;: 3-246C - ' <br /> <br />FOR OWNE~ INb'rA LL4.TION <br /> <br />Mailing Address: <br />City: S~a~: Zip: <br /> <br /> reside in, or will re. ldo in <br /> ~ntctum arm wilf blrmy own general conttm~r. I <br />und~r~ta~i that I matt register a~ a constrict'on contractor i~ tht <br />$~ is sold or offett, d for sal~ b~/ore or ~oo~ complefiot~ Ill <br />him subcontractors, I will hir~ only subcontractor~ registered with <br />the Con~tm~tion Comractor~ Bom~ If I chang¢ my mind and do <br />~ a gentral contractor who is registered with tho Con~tnwtion <br />Contracton Boan~, l will hnmediattly notify Marion Coumy of tho <br />nmnt of th~ contractor. <br /> <br />3. PLAN REVIEW SECTION <br /> <br /> MaaS. on County does no~ ~quire a plan review. We will pmvido plan <br /> mvknv se~me if you complete Section 5B and submit two (2) ~ets of <br /> plans md sl~c. ifieationa with this application.· <br /> <br />' <br /> <br /> Az ~td s~s~ (.~% ,~ <br /> 7 <br /> SUBTOTAL <br /> <br /> B. ~ 3~ ~ ~ A1 f~ ~ ~ew <br /> C. ~ga~on F~ (if ~) <br /> D. ~on Fm (~0.~) <br /> E. ~o~ ~ ~ (~2.5~, <br /> ~mum o~f h~) <br /> <br />MC I$-34 ~ 9/98 <br /> <br /> <br />