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MARION COUNTY BUILDING INSPECTION <br /> o '~20 Higt~ Street NI~ <br /> SaJer~ Oregon 97301 <br /> Phone 588-5147 8.130 e_m. - 4:30 p.m. <br /> Code-A-Phone: 588-79O4 ' SITE #: <br /> FAX: 588-7~18 <br /> <br />P~N ELkCTRIC, INC. <br />25248 SW ,OBER~T ROAD <br />SHERWOOD~ ~ OR 97140 <br />246-1~]0! <br /> <br />CONTRACTORS ~OARD REG. ~ 35151 <br /> <br />26. FOR OWI~R I~ISTALLA'I1ON~ <br />Properly Owner <br /> <br />Marling Address <br /> <br />The Ins~llatlon is being made on properly I own which Is not intended for sale. <br />ieee or rent,, <br /> <br />Owner*e ~ignature <br /> <br /> Permit No <br /> <br />Issued by: <br /> <br />4, FEE SCHEDULE (Complete and enter total in A1 bel~v) <br />Number of Inepe~Uonw per permit eltewed <br /> <br />Multi-Family l~r dwelling unlt <br /> <br /> 1500 sq. ~ et les~ <br /> E~ ~1 ~0 ~, ~,, ~n <br /> ~ Mfg.*d H~ or M~ <br /> <br /> ~1~1~ <br /> <br />C. Tem~reW <br /> <br />D. B~h CI~I~ <br /> <br /> E~ s~n ~ou~leel~hflng <br /> Sign~ ~muit(s) er a B~t~ e~ <br /> <br />~ ~er <br /> <br />~. PI. AN REVIEW SEC'I1ON <br /> Check approptlate item and enter fee in Sec~jon SB. <br /> <br />__ Connected bcmd over 200 amps (exoept single family dw~lings) <br />~ Building sysl~n over 200 amps (except single ~ dwellings) <br />~ System aver600 vegas <br />__ 8uil~ng over 2 sto~es <br />_ Building over 10.000 sq~ate faet <br />~ Oc~Jpaof load over 300 perSOns <br />.... Manufactemd Dweiflng Pmk/Reoeal~on Park <br /> __ Haza~leus Locations <br /> <br />Submit 2 set~ of plan~ wi~ any of Ifle above, <br />Temponay construction sen'ices do not apply. <br /> <br />At. Enter total of fees from Sec~ it4 $ <br />A2. Add 5% ~mharge (,0~xA~) $ <br /> Subtotal $ ...... <br /> <br />t3. Enter 25% of line A~ for P~Ln ROView <br /> (~eo. 3), if mqui4'ed <br />C, Inveel~a~a Fee (if requital) <br />O. Retnspecsion Fee ($~5.00) <br /> <br /> TOTAL AMOUNT DUE <br /> <br /> <br />