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MARION COUNTY <br /> '.i BUILDING INSPECTION DIVISION ,, <br /> 3150 LANCASTER DR NE - SUITE C <br /> FOR CITY VALIDATIONJ SALEM OREGON 97305~-1_39~8 ~._~~ PERMffNO: <br /> Received by: ~_[ - <br /> <br /> O~hone ~147.8:00sm - 4:~ <br /> ~ ~~7 Issu~ by:__ _ <br />[ELECTRICAL' PERM~ APPLICA~ON. ~ MARLO-~N C~UNI~ <br /> Ple~e complete ~l ~ons, 1 through 5__ILH D NG IN ;~CH~(~[~~A[ <br /> <br /> ~ R~d~tial P~ U~t <br /> 1. LOCATION OF ~~ON ~ In~d~: <br /> <br />lob Description: ALARM - <br /> <br />PERMITS ARE NON-TI~tNS~LE AND EXPIRE IF WORK IS NOT <br />STARTED ~ 1180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPI~DED FOR 180 DAYS. <br /> <br />ZA. CONTKACTOR INffrALL.CTION ONLY <br /> <br />E[~cwicalC~n~c~r BRINKR HOMR ~ECIIRITY <br /> <br />Addre~ 8059 S.W. Cirrus Dr. <br /> <br />FOR OWiNaK ]NsTALT.&TIONS <br /> <br />Pro?cay Owner Ole~m p.ffz0 <br />Mailiag A&k~s ] ~ <br />City/State/Zip <br /> <br />3. pLAN RI]¥I~Vq: SBCTION <br /> <br />Marion County does not require a plan review. <br />We will Pr°vide PI~ review serOCe ifyou complete <br />Section 5B and submit two (2) sets of plans and <br />SPecifications'with this application. <br /> <br />1000 sq. tL or le~ $85.00 4 <br />Each ~dditlona1500 ~q. fl. <br /> c* pOdion 0aereo f $15.00 <br />Limited E~e,~y ~x< $20.00 <br />Each Manufactured Hc~ne or <br /> Dwellin~Servic¢orFeede~ $40.00 -- 2 <br /> <br />B. ~cvlee, a ~r 1%6eder~ (Doe~ not include branch circuits, see section D) <br /> <br />b) The fee f~r hr/ach ¢ireuiU without <br /> <br />E. M.i~elhaeou$ (Set. Joe oc Feeder Na~ Included) <br /> <br /> Si~ c~a) ora ~it~ en~ <br /> <br />F. ~ additi~ ~ioa <br /> <br /> ~v~ ~r <br /> Pack of 101~ ~ $5.~ ~ch <br /> (~d oMy Io e~l comr~cto~) <br /> <br /> (~ r~c~ bZ B~I~ O~c~O <br /> <br />$35.00 <br /> <br />$50.00 <br /> <br />2 <br />2 <br /> <br />2 <br /> <br />$_.~.J_--~ <br /> <br />$ __ <br />$. <br /> <br /> <br />