Laserfiche WebLink
ELECTPJCAL PER,fir API~TI~ <br />P~a.~e ~mp~e a# E~ct/ons, I ~ 5 <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> 220 High Slree~ NE <br /> Salen'L Oregon 97301 <br /> <br /> Phone 588~147 8:00 a_m - 4:30 p,m, <br /> C<x~ A P~:x~e: 588-7~04FAX, 588-7cj48 <br /> <br />I~sued by; <br /> <br />License NO,, <br /> <br />Supervlsor's LIc.,ense No / ~. 7;~ ,~ <br /> <br />Property Owner <br /> <br />Mailing Address II, Phone <br />"C{¥StatefZlp <br /> <br />The lnstalfatlon is being made on property I own which Is not intended for sale, <br /> <br />4. FEE SCHEDULE {comptete and ente~ total in A1 be~ow) <br /> <br />Number of Inl~fl~ ~r ~rmlt ell~ <br /> / <br /> <br />(S~) <br /> <br /> ~ Mfg,,'d H~ or <br /> <br />(~o~~ <br /> <br />I~, A~=~ or R~ <br />~ ~ $ ~, ~ 2 <br /> <br /> ~ ~ ~s~ 1~(~4e) <br /> <br />(~F~ <br /> <br /> S~nN ~muit(s) or ~ i~ <br /> <br /> · e ~e. ~ In~n $ ~, ~ <br /> <br />Al, Enter ~3~aJ of fees from S~c, ~4 <br />A2. Add 5% rmrcharge (,05 x At) <br /> <br /> Subtotal <br /> <br />El, Ente~ 25% of llne At ~ Plan Review <br /> (,~c;, 3), if mquire~ <br /> <br />D, ~n~ ~ ~.~) <br /> <br /> ~T~ A~UNT DUE <br /> <br /> <br />