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_0~WCE.USE Ot~Y <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> 220 High S~ NE <br /> Sa~r~ Oregon 97301 <br /> <br /> Phone 58~5147 8.~0 a.m. - 4:30 p,m, <br /> FAX: ,588-7~18 <br /> <br />ELECTRICAL PERNIT APPMCATION <br />P~ase comp~te all Se~ons, 1through5 <br /> <br />property Owne( <br /> <br />Property Owner <br /> <br />Mailing Address I Phono <br /> <br />Check appmt~a~ i~m and e~r ~e in Sec#on SB, <br /> <br /> I~ildlng system over 200 amps (exr.~pt <br /> ~m ~r ~ ~ <br />~ Bu~ ~ 2 s~ <br /> <br />_, <br /> ~u~ ~i~ P~ P~ <br /> <br />Submit 2 sets of plans with any of the <br />Tenffx~eW cons~ruc~on services do not app¥. <br /> <br />4. FEE SCHEDULE (Complete and enter total in A1 below) <br /> <br />A. Residential, Single or <br /> <br />(S~u~) <br />1~,~,~ ~ $ ~. ~ <br /> <br /> E~ Mfg.'d ~ or M~ <br /> 1~ ~ $ ~. <br /> <br /> $~n~ ~mit(s) or s ~t~ e~y <br /> <br /> (~ ~ by ~i~ ~1) <br /> <br />2 <br /> <br />2 <br />2 <br />2 <br />2 <br /> <br />2 <br />2 <br /> <br />2 <br />2 <br /> <br />2 <br /> <br />2 <br /> <br />Enter tetel of fees from Sec. #4 <br />Add 5% sumha~e (.OSx A0 <br /> <br /> ,Subtotal <br /> <br />B. Enter 25% of line A1 for Plan Review <br /> (Se~. 3). if required <br />C_ Invesl~ga~oa Fee (if required) <br />D. Reinspe~on Fee ($25.00) <br /> <br /> TOTAL AMOUNT DUE <br /> <br /> <br />