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.. ~7/15/96 15:51 ~'$03 §85 7948 ~001 <br /> <br />FOR CITY VALIDATION <br />R~.ivo:l by: <br />Dado: <br /> <br />MARION COUNt ¥' BUILDING INSP~ON <br />COMMUNITY D~VI~LOPIVlENT CBNTER <br />285 Church St ~ · Room 132 <br /> Salem, OR 97301[ <br /> <br /> ELECTRICAL PERMff APPLICATION <br /> Please cofllplete all ~Vection$, I through 5. <br /> <br /> L LOCATION OF I~ISTALLATIO. <br /> <br /> T.OW vOLTAGE AT,ARM <br /> <br />IPEI~aTI~ ARE HON-TRAHS ~.RABLE AND EXPIRE IF WOKK 1S NOT <br /> STAIIT~D VeTII~N ll~ DA <br /> WOrK L~ S U~ pE~ND~J~ FOR 150 DAYS. <br /> <br /> 2~. CoI~rRACTOR I~[~TALLATION ONLY <br /> ~l*~u~c,ico~mr Brinks Home Secu~ 641-0574 <br /> ~a*~i~A~095 S.W. Cirrus Dr., Beaverton 9730 <br /> <br /> ~u~',~,~o. F 592 JLE <br /> <br />Property Ovm~ (~l~se pd~t) <br /> <br />ci~/s~er/~ <br /> <br />Own~s <br /> <br />3. PLAN RI~VIR'W SI~CTION <br /> <br /> Marion County does not require a plan review. <br /> We will pnwide plan review service if you complete <br /> $~ction 5B and submit two (2) sets of plans and <br /> specifications wit~ this application. <br /> <br />MC IJ-~4 t/96 <br /> <br />p RMrr <br /> <br />__~q. fl.x$.06~=-- <br /> <br /> <br />