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]FOR CITY VALIDATION <br />Received by: <br />Date: <br /> <br />MARION COUNTY <br />BUILDING NSPECTION DIVISION <br />3150 LANCASTER DR NE - SUITE C <br />SALEIV OREGON 97305-1398 <br /> <br /> 24 hr. Inspection Line 373-44:27 <br />Office: Phone 588-5147 ,$:00am - 4:30pm <br />FAX: 588-7948 <br /> <br />ELECTRICAL PERMIT APPLICATION I <br />P/ease complete all Sect/oas, I through 5 <br /> I <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />Job Dexcdpfion: ~ <br /> <br />CONTRACTOR IN~TAIJ-ATION ONLY <br /> <br />il <br /> <br />PERMIT NO: <br />Da~e: <br /> <br />Issued by: <br /> <br />4. FBB ~]CH HI)UL~ (Complete and calea' total in Al below) <br /> <br />Over 600 mmp~ or t00O volts <br /> <br />b) The fe~ fo~ ~cfie~ wi~ut ~ 7;. ~2~ ~... <br /> <br />$50.0O 2 <br />$60.00 2 <br />$10O.00 2 <br /> <br />$300.0O 2 <br /> <br />$35.~ 2 <br />$~.0O 2 <br /> <br />$ <br /> <br />$35,0O <br />$ 2.00 <br /> <br />sq. fi- x 5.068 =__ <br /> <br /> <br />