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OFF3CE USE ONL¥ <br />Received by: <br /> <br />MARION COUNTY BUILDING INSPECTION <br />220 High Street NE <br /> Saler~ Oreg~ 97301 <br /> <br /> Phone 588~147 8,~0 ~_m. - 4:30 p.m. <br /> <br />Issued by; <br /> <br />Description: <br /> <br />21[ FOR OWNE~ ~q'ALLA'nONs <br /> <br />Property Owner <br /> <br />M~lllng Address <br /> <br />3. PLAN REVlE~ ~qON <br /> <br />Connec~d [.~ad ove~ 200 amps (except r. ingle family dw~lings) <br />Bulking system over 200 amps (except single family dwellings) <br />System OVer 600 vc~ts <br />Bui~ng over 2 slo~es <br />Bu{Idlng over lO,O00 square feet <br /> <br />Hazardous L~cations <br /> <br />~ubmit 2 set~ of plans ~ any of the above. <br />emporary construcl~n services do net apply. <br /> <br />4. FEE ~.CflEDULE (Complete and enter total in A1 be~ow) <br />Number of Inspections per permit allo~l <br /> <br /> Multi-Family per dwelling unit <br /> <br /> 15oOsq. ft. o~ <br /> E~h e~'l ~0 ~. ~. ~ ~n <br /> E~ Mfg,'d H~ or M~r <br /> D~III~ ~ or f~r <br /> <br /> R~n~l ~ly <br /> <br />C. T~m~ ~r~ <br /> <br /> ~ ~ ~s ~ 10~ v~m (~ <br /> <br /> E~ s~n ~ outline I~h~ng <br /> <br />~ ~ar <br /> (~ ~1~ ~ ~i~ng ~1) <br /> <br />Al. Enter tofaJof fees from Sec. ~4 $ <br />A2. Add 5%, surc~"k~ge (,05xA1) <br /> <br /> Subtotal <br /> <br />B. Enta{~ 25% of line A1 f~x Plan Review <br /> (Sec, $), if mqulred <br />C, In~s~ F~ (~ ~i~) <br />D, ~n~ ~ ~,~) <br /> <br /> ~T~ A~UNT DUE <br /> <br /> <br />