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MARION COUN'I'~ BUILDING INSPECTION <br />220 High SU~ NE <br /> SaJe~ Orego~ 97301 <br /> <br /> Phone F:~5147 e,:0C) a_m. - 4~0 pm. <br /> FAX: 588-7948 <br /> <br />ELEC {"HICAL PERMff ~PUCA'[ION <br />Please complete all Seclion.~ 1through5 <br /> <br />Contractor's License No, <br />Contractor's Board Reg. No. ~7 ~.~.,,,~ I ,.tr~b No. <br />Signature of Supervlslng,~, <br /> <br />2EL FOR OWNER l~TALLAl10N~, <br />Property Owner <br /> <br />The installazlon ia being made on property I own which is not Intended for sale, <br /> <br />Issued by: <br /> <br />4. FEE SCHEDULE (Complete and enter total iff A1 below) <br />N~mber,~ Inl~e~tioa, per permit <br /> <br />__$85 <br />__ $ 15, ,, ,, <br /> <br />$40, <br />__San.__ <br /> <br />__$50. <br /> $ 15. <br /> <br />~ $35,__ <br />~ $50,__ <br /> <br />3. PLAN REVIEW SECI1ON <br /> Che~ ~ ~ ~ ~mr ~ ~ ~ $B. <br /> <br />-- Connected Load over 200 amps (except single family dwellings) <br />__ Bui~ng sysb~n over ~X) amps (except single ~mily dwellings) <br />__ System over 600 vo~ts <br /> <br />· Building over 2 stories <br /> <br />__ O~pant toed ov~ 300 pemons <br />__ Manufac~red Dwelling Paf~P.e~atle~ Park <br /> Hazardous IJ~catl~s <br /> <br />Submit 2 se~ of plans wi~ any of the above. <br />Temporary constmc~on services do not apply, <br /> <br />B. Enter 25% of line At f~' Plan Review <br /> (Sec. 3). if required <br />C, Invesligalic~ Fee (if required) <br />o. Ransm~io. Fee <br /> <br />TOTAL AMOUNT DUE <br /> <br />~c f~-.~ A,~. ~,~ Re<~pt No. ,, <br /> ¢ <br /> <br /> <br />