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t~o~ c~ v~,.~o~r~O~I <br /> <br /> ELECTRICAL PERMIT APPUCATION <br /> Please complete all Sections, 1 through 5 <br /> <br /> ~RION COUNTY <br />BUILDING INSPECTION DIVISION <br /> <br />I. LOCATION OF INSTALLATION <br /> <br /> CROSS STREET/ <br /> DI~ON$ <br /> <br /> ST~ ~ I~ DAYS OF ~U~ OR WO~ ~ $US~ ~R I~ DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />[ t4ail nS A,~I.~. Clt,/ <br /> <br /> ~ I I I I-I I I I-I I' I I" <br /> <br /> $i~ o~ Supv. Ele~¢ian <br /> <br />FOR OWNER INSTALLATIONS <br /> <br />O~Kr's Sis~u.u~ <br /> <br />3. PLAN R.EVIEW SECTION <br />I Marion County does not require a plan review. <br />We will provide plan review s~rvice if you complete <br />Section 5B and submit two.(.2) sets of plans and <br /> specifications wi[h. this. app,icatio~.. <br /> <br />Data: <br /> <br />{ssued by: <br /> <br />O. ~ F~ (S2.S.O0) S <br /> <br /> <br />