Permit - 1274362 - Laserfiche WebLink

Home Browse Search

Received by: Date: ~ MARION COUNTY BUILDING INSPECTION 220 High Stree~ NE Salem, Oregon 97301 Phone 588-5147 8:00 a,,m. - 4:30 p.m. FAX: 588-7948 ELECTRICAL PERM~'F APPMCATION Please complete afl Sect~ns, 1 through 5 SITE #: Permit No. Issued by: 1. LOCA'IION OF INSTALLA'noN Job Address 11955 'W......S.T~YTON RD. ~ SE City AUMSVILLE I Oro~s St. SNODD¥ DR., FROM AUMSVTLLE? SOUT~I ON W. STAYTON ROAD, TWO PO~R POLES SOU~H OF SNODDY DR. PP&L POLE NO. 138200 POWE~ POLE. Mailing Address Pr°Pet~Owne~o~w~Y CABLEVISION, LTD. Mailing Addr.*~522 JORDAN ST. , SE~ ~b°n"588-8247 City/State/Zip SALEM, OR 97301 !The Ins~ll~tlon is boln§ made on property t/~)wn which Is ~ot inter,ed for sale, lease or rent,, ~~~ ~ner's Signature -~ P~SIDENT Con~ ~ ~er ~ ~ps (ex.pt ~le ~ily ~llings) ~ Bu~Uing sys~m ~er ~ ~ps (ex.pt shg~ ~ily ~lings) ~ Sys~m ~r~0 ~lb Building ~er 2 s~es ~ilding over 10,~ ~m ~t H=~us ~ns Submit 2 sets of plans with any of the above. Temporary consffucl~on services do not apply. 4. FEE SCHEDULE (Complete and enter total in At below) Number of Inspeeflone per permit a/lowed -- ~ Resltiantlel, Single or Items x Cost = Tolal Multi-Family per dwelling unit ($en, i~ in~tucled) 1500 sq,, fl,, or ie~ $ ~. E~h ~'1 ~0 ~, ~. or per~n $ 15. Each Mfg.'d Ho~ or Modular Dwelling ~ or f~r $ ~,, B, ~wle~e~ors (10 Br~ ~r~ Include) 101~sto~ $ ~ ~1~1~ ~. $130 R~nn~t Only $ ~, Sign~ =]muir(s) Or · ~mit~ enemy H. (~ r~lr~ by ~ll~n9 ~fi~l) B. Enter 25% of line A~ for Plan Review (Se~, 3), if required C. Invesliga/~an Fee (if required) D, Reinspe~n Fee ($25.00) TOTAL AMOUNT DUE $ $, $, 36.75 ~ct~ ~,~, ?~ Recent No.