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Date: <br /> <br />MARION COUN'I-V BUILDING INSPECTION <br /> 220 High S~'ee{ NE <br /> Saen~ Oregon 97301 <br /> <br /> Phcme 588-5147 8.o9 a_m. ~ 4:30 p.m. <br /> ~hone; F,~8-7904FAX: .~JG-7948 SITE,: IIU~J,~l J~ <br /> <br />Permit N o. ,.~ ~)~)q <br /> <br />P~ase comp/eta al ,.~ec~br~, I ~ 5 <br /> <br />St, <br /> <br />Description: <br /> <br />~upervl~or'a L]~nse No. // ~ ~ J Phone N~_ _~ <br /> /~ /~ I ..../ ~-~ <br /> <br />FOR OWNER INSTALLAllONS <br /> <br />Property Owne¢ <br />Mailing Address J Phone <br /> <br />Issued by: <br /> <br />4. FEE SCHEDULE (Complete and enter total in A1 below) <br /> <br /> 601 an-~s to 1000 amps $130. __ <br /> Rec~nne~tOnly __ $ 35. <br /> <br /> 200 amps oHess __ $ 35. <br /> 4ol amps to 6oo amps __ $ 80. __ <br /> Owr 600 amps m- 1000 volts (See 4B) <br /> <br />(,.~e~w~'e a,' Feede~ not ~u o'~') <br /> <br /> Each sign o~ outline I~ghllng $ 36, <br /> Sigda ~imuit(s) or ~ imited energy <br /> <br /> ~heabove, pe~tnspectton -- $ 35, . ......... <br /> ($ok~ only to ele~icel <br /> (As Aw~uired by Building Offic~O <br /> <br />__ C~nected Load over 200 amps (except angle family d,,,~lings) <br /> Buildlng sys~m over 200 amps (excep~ single family dwellings) <br />,,, System over 600 volts <br /> Building over 2 ster',~s <br /> <br />... Qocupant leacl over ~X) panKms <br />-- Manu~ Dweaing Park/Rea~aticm Park <br />__ Hazardous ~ <br /> <br />Submit 2 sets of plans with any of ~e atx)ve. <br />Tempor~y cons~uO~on sewk:e~ do not apply. <br /> <br />Al. Enter totel of fees from Seo, ,4 <br />A~. Add 5% sureha~e (,OS x At) $ <br /> <br /> SubtotaJ $ <br /> <br />B. Entre- 25% of line A1 for Plan Review <br /> (Sec~ 3), if required <br />C. Invesfigafiofl Fee (if required) <br />D, Re~spec~n Fee ($~,00) <br /> <br /> TOTAL AMOUNT DUE <br /> <br /> <br />