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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> YVAL ATI N'~ 285 Church St NE , Room 132 PlERMITNO' <br />FOR CIT ID O [ Salem, OR 97301 ' <br />Received by: [ _ <br />Date:~ <br /> <br />ELECTRICAL pERMIT APPLICATION" <br />Please complete ~1 S~tions, 1 through <br /> <br /> ,, _ ..... <br /> <br />PERMITS ARE NON-TRANSFERABLE AND EXPIRE IF WORK I$ NOT { <br /> STARTED WITHIN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 1130 DAYS. <br /> <br />2A, CONTRACTOR IlqSTALLATION ONLY <br /> <br />2tl. FOR OWNER I~STALLATIONS <br /> <br /> 3, PLANREVIEW SECTION <br /> <br />IMarion Connty rides not require a plan review. <br /> We will provide plan review service if you comptete <br /> Sectkm 5B and submit two (2) sets of plans and <br /> specificatkms with th s applicat <br /> <br />MI_' L{-.Y4 12/94 <br /> <br /> oe ixmion thcrco£ $15,00 <br />Limited Energy $20.00 <br /> <br /> Dwelling Service oe F¢¢d~ $40.00 <br /> <br />Each sil,m or outline lighting <br /> <br />(A~ reqtlfl'ed by 13uil~t~ OfllciM) <br /> <br /> $50.00 2 <br /> $60.00 2 <br /> $1(X3,00 2 <br /> $130,00 2 <br />..... $300,00 2 <br />..... $40,00 -- 2 <br /> <br />$35,00 <br />$49,00 <br /> <br /> $ %00 <br /> <br />.... $35.00 <br /> $ 2.00 -- <br /> <br />$35.00 <br />$50.00 <br /> <br />TOTAL AMOUNT DUE <br /> <br />s 39v, <br /> <br />$. <br />$. <br /> <br />$ ~_~"~, OO <br /> <br />$40,00 2 <br /> <br />$4&00 ---- 2 <br />$40.00 2 <br /> <br /> <br />