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oaO~C~OFFICE uSEONLY [ MARION COUNTY BUILDING I~SPRCTION <br /> eceived by:. <br /> <br />[ELECTRICAL~E RMIT-APPLICATION~- ~ <br /> Please co,,,~,.,~ a~ Secgons,~+~ I thrOugh ~ ~ _ <br /> ~ Woodburn [ ~,~ Broadacres. Road ~ I~ cm~(~) ~ I <br /> <br /> ~m, Under Broadacres overpass on south- <br />bound I-5 <br /> Oemma~ Service for LIO volt outlet for <br /> <br />PE]~.M]'[~ APE N(~-TRAN~F{{RABL]~/L,'V]:) NON-RRFUNDABLI] AND <br />EXPIRE IF WORK IS NOT sTARTI]D WrfHIN 180 DAYS OF ]~&'UA..%~:~{ <br />OR 1~ WOP~ IS SI.~H~ID ED FO~ I~0 DAYS. <br /> <br />2A. CON'I"P~CT(:I~ IbI~Ad,LAT1ON ONLY <br /> <br />m~c~"'~"~Dryden Electric In~m~ 981-3913 <br />M~SA~ PO Box 266, Hubbard OR 97032 <br />m~nV°~0R D. ept. of Transpor. IPm~982-0804 <br />O3,~,~c~r', Lic~,c No. 24-322C <br /> <br />c~moe, Bo~d R~ No. 98943 { ]o~ mx <br /> <br />28. FOR O'~"~-.~ INSI'ALI~rION$ <br /> <br />T~ in~*ll,,6,,m ~ beb~ made ea ~ I ~ wb~d~ i~ am immded for sa]e, <br /> <br />3. PLAN R~'VIEW $~-'TION <br /> <br />We will p~ovido plnn review service if you complele Sectio~ <br />5B a~ submit two (2) sets of plato and specifi~flom with <br /> <br /> This optional plan review program does not suspend <br /> requi~:l submission of lighting power calc,O~inn~, plato, <br /> and specfficaioas when requked by ~e Ore,o. Su, ucum~ <br /> Speciam/Co<k:, Chaix~'53. <br /> <br />MC 15-34 11191 <br /> <br />1000 ~l; It (~ bs $85.00 4 <br />E~:h ~ld~.ona1500 ~q. ft. <br />~ ix,ni<a d*e~:,t $1500 <br />Limed E~y SZO.O0 <br />Ea~ Mmlnfd tt(m~ o~ Mod~l~ <br /> <br /> ~0~,mm ~ ~, --t_~oo~ 50.002 <br /> 401 am~ to 00~ aml~ $100.00 -- 2 <br /> <br />C. Tum~v~y <br /> ~ AIt~ntlon, o0- <br /> <br />D. Bram~k <br /> New, Al~er~om. or Exte~Moa Pm' ~nel <br /> <br /> -- 2 <br /> <br /> (s~ ~y m ~ c~s) <br /> <br /> <br />