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...... ~ MARION COUNTY BUILDING INSPECTION <br /> FOR OFFICE USE ONLY <br />I R '~ db · I 220Hi{zhSl~'eetN~ <br /> <br /> , Permh NO,_ , ~,~ <br /> ELECTR CAL PERMIT APPLICATION ~, /,//~ate: ~ <br />........ -.. <br /> <br />l' pEILMTK~ ARt. NON-TRANSF~'RABLE AND NON-IL~I~INDAB~EI ~ <br />£XI:Q~E IF WORK IS NOT STAP, TED W1TH~N 150 DAYS ON I~$UANCB <br /> OR IF WORK IS 3USPENDr'D FOR ] 80 DAYS. , <br /> <br />CONTRACTOR INSTALLATION ONLY <br /> <br />$ upcrvisog~ Liconse No. - /~ Phone NO. ~, <br /> ,,, ,, I , <br /> <br />2B, FOR OWNER INSTALLATIONS <br />Pmp~y Owr~: <br /> <br />C~y~atdZlp <br /> <br />Phone <br /> <br />The imtalla~on i,~ being made on property ! own wlfieh is not intended for ~le. i <br /> <br />PLAN REV]fEW SECTION <br /> <br /> We will provide plall review service if you ~ompleto SeCtion <br /> 5B and submit ~o (2) sets of phns ~d s~fions Wi~ <br /> t~is application, <br /> <br />This optional plan ~vicw program does not suspend the <br />required submis3ion of lighting power calculations, plans, <br />and specifications when requited by the Oregon Stnzctural <br />Specialty Code, Chapter .53. <br /> <br />MC 15-$4 H/91 <br /> <br />Each ad{tltlona1500 s9. fL <br />~ p~r~cm the~.f <br /> <br /> Installation, Alterations or Relo~atlon <br /> <br /> 2.01 ~ ~ 4~ <br /> <br /> ~c 1~ ~ps or vok~ <br /> <br /> ~1 ~ps to ~0 am~ <br /> <br /> a) ~e f~ f~ ~¢h ~reM~ <br /> ~rehase Of se~ ~ fe~er fee <br /> <br /> ~eh ~mp ~ iM~a~ <br /> ~ $~ or ~e Hgh~g <br /> <br />F. ~ch aflflai~al <br /> <br /> ( As ~m~ by B~in$ <br /> <br />5. FEES <br /> <br /> A2, Add 5% ~urvha~ (,0~ x A 1 ) <br /> <br /> C, ~v=~afi~ee ¢~ mqulmd) <br /> D, ReMs~fi~ Fee <br /> <br />Receipt No, <br /> <br />$100.00 <br />$130,00 <br />$300.00 <br />$40.00 <br /> <br />$35.00 <br />$40.00 <br />$80.00 <br /> <br />$2,00 <br /> <br />$35.00 <br /> $2,00 <br /> <br />$4o.oo <br />$40,00 <br /> <br />$40,00 <br /> <br />$33,00 <br /> <br />$50.00 <br /> <br /> <br />