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[~':'ved By: <br /> <br /> MARION COUNTY <br />BUILDING INSPECTION DIVISION <br />3150 Lancaster Dr, NE - Suite C <br /> Salem, Omgon 97305-1398 <br /> <br /> 24 HR Inspection Line 373-4427 <br /> O~ce: phone ~8-5147 S:00am - 4:30pm <br /> FAX S88.7948 <br /> <br />ELECTRICAL PERMIT APPUCATION <br />Please complete all Sections, 1 through <br /> <br />1. LOCATION OF INSTALLATION <br /> <br /> 1 ol31-/ 171v1-1 <br /> <br /> ST~ ~ ]~ DAYS OF ISSU~ OR WO~ IS SUSP~ ~R tS0 DAYS. <br /> <br />2.4. CONTRACTOR INSTALLATION ONLY <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> PropelX~Own~ (please print) <br /> <br />3. PL~ ~W 8~ION <br /> <br />Marion County does not require a plan review. <br />We will provide plan review service ff you complete <br />Section 5B and submit two (2) sets of plans and <br />specifications with this application. <br /> <br />Date: <br /> <br />Issued by: <br /> <br /> or portion thereof <br />Umit~d ~ <br /> <br />4. FEE SCHEDULE (Comp~e ~1 ent~ total in Al below) <br /> <br />B, Enter 25% of llne A 1 for Plan Review <br /> (Sec. 3), if r~quir~d <br />C. Investigation Fee (if requin~d) <br />D. Rei~ F~e ($25.00) <br /> <br />Subtoml <br /> <br />TOTAL AMOUNT DUE <br /> <br />MC 15-34 7/97 <br /> <br /> <br />