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I FOR OFFICE USE ONLY <br /> Received by: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> 220 High St~et NE <br /> Salem, Oregon 97B01 <br /> <br /> ~ 588-~147 B:o0 ~ - 4:301a~ <br /> Code-A-l~one: 588-7904 <br /> FAX: 55$-7~s SITE #: <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please coml)lete all Sections, I through 5 I <br /> %-- <br /> <br />2B, IFOR OWNER I~$TALLATIONS <br /> <br />o~,a~'~ Sigaua~e <br /> <br />3. lq.,kN ~ ~CTION <br /> <br /> We will provide plza review servic~ if you ~omple~ Section <br /> 5B and submit two (2) seis of plans and specifications with <br /> this application. <br /> <br /> This optional plan rvvivw program does no~ susl~ad the <br /> required submission of lighting power calculzfion~, plan~, <br /> and spccificafion~ when required by tho Oregon Sm~cmral <br /> $1~cialty Code, Chal~ 53. <br /> <br />MC 15~34 HI9] <br /> <br />Date: <br /> <br />Permit No, <br /> <br /> Issued by: <br /> <br /> FEE 8c~u~;JDULE (Coml~ ~nd mtcr m~al/n A 1 below) <br /> <br />A. Reside~llnl l, er Unit Numbe~ ~ Inspe~l's P' im~lt nl~m~d ~ <br /> <br />$2.00 __ <br /> <br />$35.00 <br /> $2.00 <br /> <br /> <br />