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[ ELECTI~iC~L PERMIT APPLICATION <br /> complete afl ~e~tione, I tl?ougl~ <br /> <br />1. LOCATION OF Iiq~TAX,LATION <br /> <br />MARION COIJ'NTY BUXLDXNO INSPBCTION <br /> COMMUNITY D~VBLOPM~ <br /> ~5 ~ SI ~. ~ 132 <br /> S~, OR 9~1 <br /> <br />2d br. lMpeetlon Line ~73-d417 <br />FAX: S88.~4f <br /> <br />l~vlFr~ ARE IqON.~BL~ ANO HXpii~ jp WOl~C iS AiO <br /> STARTED ~ 180 DAYS OF ISSUANCE OR WOiO¢ IS SUSPS~',qD~ FOR 180 DAYS. <br /> <br />PERMIT NO: <br /> <br />Date: <br /> <br />Issued t~y: <br /> <br /> CONTRACTOR INSTALLATION ONLY 2et stop ~40o m~ps s4o.m ~ 2 <br />] 40J wps to~oo amp = SW.00 <br /> <br /> I D. n.,~ c~, ., <br /> I Ne-, ~Jt.~.stlom. ur Smmsi~n Par ~nd /'~,~.,.~ J <br /> ' { s <br /> <br />211. FOR OWNRR D4'$TALLATION~ <br /> <br />Maili~ Adcla~sa ]. Sq~one <br /> <br /> 3. PLANitB'flBW M~CTION <br /> <br />[lv~adon Count7 does ~t ~uim i plan ~view, <br /> We will provi~ pln.~ s~i~ if you complete <br /> S~flofl 5B a~ subml, t ~o (2) s~ of plato and <br /> s~i~cafi~s wi~ ~s applica~on. <br /> ~C /3-J4 I~ <br /> <br />S4O,OO 2 <br /> <br />$35.00 ~ <br />$50.00 ~ <br /> <br />Al. b ~d of fe# from Sac./d <br /> <br /> <br />