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[~qOR Ct'4'f VALrDATION <br /> lU~vod b~ . <br /> Date.' <br /> <br />588 7945 [~001 <br /> <br /> ~ ~. ~u ~e37~27 ~,, <br /> o~:~m ~.-.,~,~ MARION 60U~TY <br /> F~ ~ ~U~ H~or~u t tuc~ <br /> <br />ELEC'i HICAL PERMIT APPLICATION <br />Please complete all 8ec~o~s, 1 ~rougl~ 5 <br /> <br />~ T,O[..f VOT.TA.GE AT.ARM <br /> <br />~ AFJ~ NON-'t~,~ISI~_m ~ ~ [D~qKE ~ wORK I$ NOT <br /> STAET'E~ ~ I~ DAYS OF ISSUANCE OR IF <br /> <br />?..A. COI~rRACTOR INSTALLATION ONLY <br /> <br />~k~,co~Brinks Home Secu 641-0574 <br /> <br />~Aadm~8095 S.W. Cirrus Dr., Beaverton <br /> <br />592 JLE <br /> <br />2~. FOR OWI~R [NSTALLA'I3ONS <br /> <br />j l~ne <br /> <br />:t. PLAH'RGVII~'W 8r~'"'TION <br /> <br />iMm-ion County does not re, qube a plan r~view. <br /> We will provide plan wvicw service if you complete <br /> $~fion SB and submit two (2) s~s of plans <br /> specifications with ~his application. <br /> <br /> MC 13-$4 <br /> <br />401 m~t~m~00mnlm Si00.00 ~2 <br />601 ~n~,~o 1000m~s $1~0.00 ~2 <br />Ov~ lOgO an~s ~ ,vol~s ~O0,110 2 <br />Re~on~c~ only $40~0 2 <br /> <br />acc 'B' <br /> <br />F. ac~ sddi~md t~n~b <br /> <br />2.0O <br /> <br />N/C <br /> <br /> <br />