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FOR CITY VALIDATION <br />Rcx:eived by:, <br />Date: , <br /> <br />MARION COUNTY BUILDING INSPECTION -,: ~ <br /> COMMUNITy DEVELOPMENT CENTER <br /> 285 Church St NE · Room 132 PI=FIMIT NO: <br /> Salem, OR 97301 <br /> <br />24 Hr Inspection Line: 588-7904 <br />Office: 588-5147 8:00 a.tn. - 4:30 p.m, <br />: ~AX: 58~-7940 <br /> <br /> 4. Fl:lB SCHEDULE, <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all Sections, I through <br /> <br />PERMITS ARE NQN-TRAN SFF~RABLE AND EXPIRE IF WORK IS NOT <br />STARTED WITIIIN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />ZA. CONTRACTOR INSTALLATION OIXILy <br /> <br /> peryOwner "' { m I~ ~ - <br /> <br /> FOR OWNER INSTALLATIONS <br /> <br />PrOperly Owner ~plc:t~e print) <br /> <br />3. PLANREVIISW SECTION <br /> <br />Marion County does not require a plan review. <br />We will provide plan review service if you complete <br />Section 5B and submit two (2) sets of plans and <br />specifications with this application. <br /> <br />MC l.%.t4 12794 <br /> <br />A, Re~idgntial per Unit <br />,~a- vlce Included: <br />1000 aq. n. ,x less ,4 <br />· Each additional SiX) aq. It, <br /> or portion d~eteof <br />Limited Energy $20.00 .__~1 <br />Each Manufactured Home or Modular <br /> <br />D. Bl'ilncll Ciecuitn <br /> <br />n. ~i~coganeoua (,%rvica or Foed~ Not Includ~l) <br /> Each pump or i~rig~liou eiml~ ~ <br /> ~ch sign or oulline lighting <br /> Signal ei~uit(a) or a limited enemy <br /> <br /> htck of 10 lab*l~ ~ $~.00 ~eh <br /> <br /> (~- reqtti~d by Buildit~ OIEeioD <br /> <br />$35,00 <br /> <br />$40,00 -- 2 <br /> <br />$40.00 2 <br /> <br />$35,00 <br /> <br />$50.00 <br /> <br />5. Pti, ES <br /> A I. Enter t~.~tal of fees from See, #4 <br /> A2. Add 5% au,~harge (,05 x Al) <br /> Subtotal <br /> <br /> B, Eh{er 25% oF linc A 1 lbr Pllm Review <br /> (See. 3), if required <br /> <br /> <br />