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MARION COUNTY BUILDING INSPECTION
<br /> 220 High ~lmet NE
<br /> Salem, Oregon 97301
<br /> Phone 58~5147 S:00 e_m. - 4:30 p,,m.
<br /> ~Phere: 588.7904 SITE #:
<br /> ........ FAX: 588-7948
<br />
<br /> Issued by:
<br />
<br />D) re~tione;:
<br />
<br />2~. FOR OWNER e~STALLA'noNs
<br />
<br />Ptoger~Owner
<br />
<br />,Ct~lState~ZIp
<br />
<br />4, FEE SCHEDULE (Complete and enter total in At below)
<br />Number of InJ~tJ~n~ per permit elided ·
<br />
<br />Muiti-Fsm#¥ ~ d~ttk~9 u~lt
<br />E~h M fg,'d Ho~ or Modular
<br />
<br /> 101 ~s~ ~
<br /> R~nn~Only
<br />
<br /> ~0 a~ or ~
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<br />E, Ml~llaneous
<br />
<br /> E~h pu~ or irflga~n
<br /> E~h s~n or outline ligh~ng
<br /> Slgn~ ¢imuit(s) or a ~
<br />
<br /> F, Ee~ add'l
<br />
<br />~$85,,
<br /> .,$~s,
<br />
<br />$80.__
<br />$t30.
<br />__ ,',',',',',',',',',~ ~,
<br />~$35,
<br />
<br />~ $ ~5,, 2
<br />__ $4o., 2
<br />~ $80,,.,,, 2
<br />
<br />__$15, 2
<br />
<br />$36. 2
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<br />PM~ REVIEW ~ECllOfl
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<br /> Check apt~riate item and enter f~e in ,~ctJon
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<br /> Connected Load over 200 amps (except ~ngle family dwellings)
<br />__,_ Bulkling system ever 200 amps (except single family dwellings)
<br />__ System over 600 volts
<br /> . Building over 2 st~rles
<br />~ Bolidlng over 10.000 square feet
<br /> Occupant load over ~00 persons
<br /> · Manufa~tored Dwelling Park/P, eo~a~Jon Park
<br /> ~ Hazardous Loca~ons
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<br />Submit 2 $e~$ of plans with any of the above,
<br />Temporary ¢ons~u~on services do not
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<br />At. Enter total of fees from See, ~4
<br />A2,, Add5%sur~ (,,05xA~)
<br />
<br /> Subtotal
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<br />B,, Enter 25% of line A1 for Plan Review
<br /> (Se& 3), if required
<br />C,, Inves~galio~ Fee (if required)
<br />D. Reinepec~on Fee ($2500)
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<br />TOTAL AMOUNT DUE
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