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1. ~110N OF iNSTALLA110N <br /> <br />MARION COUNTY BUILDING INSPE(~N)I~ ~ <br /> <br /> Salem, ~O~gon 9730~ LI ~ <br /> <br />City <br /> <br />Directions; <br /> <br />Ii <br /> <br />Property Owner <br />'~e. ittng A~dress I Phone <br /> I <br />Olay/state/Zip I <br /> <br /> The ~ns~lJaflo~ I~ bel.g ma~e on pr~per~ I own which I~ not Intended for ~aJe, <br /> <br />4, FEE SCHEDULE (Complete and enter total in A1 below) <br /> <br />Number of Inepe~tJons per permit allowed <br /> / <br />A, Residential, Single ar Itsms x Coet <br />MUlU-Femlly per dwellln~ ut~lt <br />IE, erv~e ~:~uded) <br />15~.~.or1~ ~ $ ~. 4 <br />E~h ~'1 ~0 ~. ,. or po~o, <br />Ea~ Mfg.'d Ho~ or <br /> <br /> 100~or~ ~ $ ~. ~ 2 <br /> 101~ts~ ~ $ ~, ~ 2 <br /> ~l~sts~ ~ $ ~. 2 <br /> ~1~10~ ~ $130, ~ 2 <br /> ~r l~8er ~1~ ~ ~. 2 <br /> R~nfl~l On~ $ ~. Z <br /> <br />c, T~m~ ~ce~F~ers <br /> <br /> ~0a~er~ ~ $ ~, 2 <br /> <br /> ~er ~ ~s er10~ <br /> <br />D, <br /> <br /> Two ~ ~n ~r~i~ <br /> E~h~Et~n~p~ ~ $15. ~ 2 <br /> <br /> Each s~n or outline lighang $ ~. 2 <br /> Slgna cimuil(s) or a Iimil~ <br /> ~el, elation or ~on ~ $ ~. 2 <br /> F. ~h ~d'l <br /> ~ ~e ~e In any of <br /> ~e ~e. pmln~aon <br /> <br /> (~ ~ by ~i~ ~1) <br /> <br /> PLAN REVIEW SF~'I~ON <br /> Check approprla~ ~m and enmr fee in Se~on <br /> <br />~ Connected Load over 200 amps (except single family dwellings) <br /> Buitding system over ~0 amps (exoept single family dwelljrlg~) <br /> System over 600 volts <br />~ E, uild~ng over 2 <br /> Building over 10.000 m:lUam feet <br /> Occupant load over .~e per,ns <br /> IV~nufactumd Dwelling Pan, Recreation Park <br /> Hazardous l.oca~ns <br /> <br />Submit 2 sets of plans with any of the above. <br />Temporary ~onsm~ctlon sewleee do not apply. <br /> <br />Al, Enter totel of fees from Se~, #4 <br />A~., Add 5% surcharge (.05 x Al) <br /> <br /> Subtotal <br /> <br />B. Enter 25,% of liee A~ for Pia~ Review <br /> (~eo, 3), if required <br />C. Invesl~gal~ee Fee (if required) <br />D. Reinspe~on Fee ($25,00) <br /> <br /> TOTAL AMOUNT DUE <br /> <br /> <br />