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; ~' MARION COUNTY <br /> _~ ~. !BUILDING INSPECTION DIVISION ..~ /~,. <br /> 3150 LANCASTER DR NE- SUITE C '' <br /> <br />JFOR CITY VALmATIONl SALEM OREGON 97305-1398 . PE~ NOT <br /> R~eiv~ by: I ............ ,' ' ~ ' <br /> <br />J ELECTRICAL <br /> PERM~ APPLICA~ON J J g~q ~ ~'' J * r~ ~' I J I ' <br /> Pleaso comploto.~l ~tlons, 1 through 5:. J....mu <br /> <br />S'TAIt"~I~ 'W~I~ I~0 DAYS OP tssg.,g,lc~ oR I~ <br /> <br />P .gPd~T~ APE H 0 N-TRAN S 'I:~--RA~ t~. AND ID~IIU~ IP WORK IS NOT <br /> <br /> WOILK IS SUSPENDED FOR 180 DAYS. <br /> <br />2B. !~OR o%qq]lR INST/,] .].ATIONS <br /> <br />J <br /> <br />,Add 5% i~l~'~J:¢ (.05,~ A I) <br /> <br /> <br />