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Zon~ By:. City: <br /> <br /> ELECTRICAL PERMIT APPLICA~ON <br /> Pl~e ~l~t a~ S~o~, I though <br /> <br />I. L~ATION OF ~AL~TION <br /> <br />lA. CONIRACIOR <br />c~ ~DS0~"S Inc. <br />~,fl~ 1390 13th St. SE. <br /> <br />Ci~: Salem sm~: OR : zip: 97309 <br />m~: 363-414] <br /> <br /> Fax: 399--8760 <br /> <br />C~ a~ ~o: 34604 <br />C~ t~No: 2~-18C <br />s~i~ L~No: 1369S <br /> <br /> I am th~ PROPER~ O~ER a~ awn, re~lde ~, or will re:idt in the <br /> Con~actv. Board, I will immediatt~ no.~ Marion Coun~ of the <br /> <br />Owner's Signature: <br /> <br /> MARION CO~J~F~Y BI]ILDiNG INSPF, CTION <br /> 3150 Lan3150 Laneester Dr. NE - Su~ C <br /> Salem, Oregon 97305 <br />8.'00 am - 4'30 pm 24 hi. In.M~ion Line 373-4427 FAX 585-7945 <br /> <br />3. PLAN REVIEWSECTION <br /> <br /> Mari~ County do~ not requirea plan review. Wewill peovide <br /> plan review servi¢~ if you eaenpletu Section 5I{ ~nd sul~iJt hSr~ (2) <br /> ~etl of plans am:l specifications w~th ~his app ication. ~ <br /> <br />4. FEE 5CHEDULI~ ~complete and enter total In Al) <br /> <br /> ~ Resldtnhl Per UnI~ ~Olee Included <br /> I~ C~ (~h) Sum <br /> <br /> ~ ~u~ H~ <br /> <br /> ~ ~ices or Feeden <br /> lnsmlltflo~ ~tt~flOU, or Relocation <br /> <br /> 401 ~m~ x SI30.~- S 2 <br /> ~l~ml~ x S1~.~- S 2 <br /> <br /> ~ x. S 5~.~ = S 2 <br /> C Tem~r~q <br /> Im~ ~flO~ ar Re~flou <br /> 2~ml~ x S4~,~ - S 2 <br /> <br /> ~1 a~ x S110.~- S 2 <br /> ~ ~ a~ <br /> New, ~te~flon, or gzteulon Per Panel <br /> <br /> . <br /> F~ B~ C~ <br /> <br /> ~ Ml~ellaneous (~ke or geeder Not Include) <br /> <br /> Si~l C~ui~s) <br /> I ~ti~ m ~i~ x $ 55.~TMS 2 <br /> F. Each Addiflon~ I~eflon, ~er the allo~Me <br /> In any of the a~ve, ~r In.eton x { 50.~ - $ <br /> G. Minor lus~ga~u <br /> ~ck Of lO la~is ~ S10.~ ~ x $1~.~ $ ,,, <br /> <br /> D~lliug Permit ~b (For ~ngle Family D~lliugs Only) NIC <br /> <br />5, FEES <br />Al. Enter Total Fees fium Seainn #4 <br />A2 Add Siam Sutchar~ (.~ x Al ) <br /> <br />SUBTOTAL: <br /> <br />$ 3.?/ <br /> <br />B. Enter 30/0 of line At for Plan Review <br />C. Investigation Fee, if required <br />D. Reinspection Fee (S50.00) <br />E. Additional Plan Review (62.50Il'o', <br />mhtimum one-half hour) <br />F. Inspection for which no fee is specifically indicated, <br /> ($6230/hr, minimum one hour) <br />O. Inspection Ou',sid~ Nurraal Business Hou~ <br /> $62.50/hr, minhnum lwo hours) <br />H. Industrial Plant ($62.$0/hour) <br /> TOTAL 3JvlO'JNT DUE <br /> <br />$ <br /> <br /> <br />