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Received by: . : <br />Date: : <br /> <br />MARION COUNTY BUILDING INSPECTION <br />220 High Slme{ NE <br /> Sa)en~ Omcjon 97301 <br /> <br /> Phone 588-5147 8.'00 a..m. - 4:30 p.m. <br /> C,(xJe~a~Phoae: 588-7~304FAX: 588-7948 S,TI=,: (q(j~(~ Permit No.~.~//~'-~ <br /> <br />Pease c~mp,~te a//Sectk~ns, 1 through 5 <br /> <br />FOR OWNER I~TAU.A~ <br /> <br />Proper~ Owner <br /> <br />The installation is being made on propeFty I own which Ie not intended for sale. <br /> <br />Issued by: <br /> <br />4, FEE SCHEDULE (Complete and enter tc~l in A1 below) <br />Number of Inspections per permit allowed <br /> <br />Mulli-Femlly per dwelling unit <br /> <br /> Each add'l 5o~ sq. fl, oc por6on <br /> ~ Mfg.'d H~ orM~ <br /> D~Ii~ ~ ~ ~r <br /> <br /> 101 ~ste ~ ~ <br /> ~l~ste~ <br /> ~1 a~l~ <br /> <br /> R~n~ly <br /> <br /> ~ <br /> ~l~te~ <br /> ~1~~ <br /> ~ I~=(~4~) <br /> <br />D. ~h Ci~I~ <br /> <br /> Two ~ ~n <br /> <br /> E~h ~n ~ omli~ I~hang <br /> <br />F. ~eh a~'l <br /> ~r ~ <br /> · e ~e, <br /> <br />O, MI~ Insmits~on ~ls <br /> <br />__ Connected Load ore{' 200 amps (except single tsmily dwe{liags) <br />__ Building sysmm over 200 amps (except single family dwellings) <br />_ System over 600 volts <br /> Building over' 2 s~rie~ <br /> Building over 10,000 ~,quam feet <br /> <br />__ Manufac~md Dwelling PadVTlecmafion Perk <br />__ Hazardous Local~ms <br /> <br />Submit 2 sets of plans with any of the above. <br />Temporary cmlstruc~3n services do not apply. <br /> <br />At. Ente~ total of fees ~3~t Sec, a~4 $ <br />A~. Add 5% surcflasge (.05 x At) <br /> <br /> $. <br /> <br />B. Enter 2:5% of line A1 for Plan Review <br /> (Sec, 3). ff required <br />C. tevest~on Fee (if <br />D, Re~ Fee <br /> <br /> TOTAL AMOUNT DUE <br /> <br /> <br />