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Property Owner <br /> <br />City/S ~.te/Zip <br /> <br />The inst~llaflon ia being made on property I m~/n whJoh J$ not intended for sale, <br /> <br />Ownol"S SJgrta~ure <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> 220 High ~ NE <br /> Sa~en~ Oreg~ 97301 <br />Phone 588~147 8,130 e~m, - 4~0 p.m. <br />FAX: 588-7948 <br /> <br />4. FEE SCHEDULE (Complete and enter total in A1 below) <br />Number of Inlpe~flons p~r permit allowed <br /> <br />A. Rest~entlel~ Single or Itema x C.o~t ~ T~t~I <br /> <br />Multi.Family per dteelllng unit <br />(S~ ~.~u~ed) <br /> 1500 sq. IL o~les8 <br /> ~ ~'1 ~ ~. ~. ~po~n <br /> E~ Mfg,'d Ho~ or M~ <br /> <br />(10~~) <br /> <br /> 101~s~ <br /> ~1 ~te~ <br /> <br /> R~n~lOnly <br /> <br /> E~ ~d'l ten ~mulm ut ~n <br /> <br /> E~h pu~ ~i~ga~n W~ <br /> E~h ~n ~ ouUine I~h~ng <br /> <br />~ ~r <br /> <br />~. PLANREV1EWSECltOH <br /> <br /> Check app(~rlab~ i~m and enter fee in SecM:~,n SB. <br /> <br /> Connec~d Load over ~ amps (ey.~pt single fami~ dwellings) <br />__ Building system over 200 amps (except sidle family dwellings) <br />_ System over 600 <br /> ~uilding over 2 stol~es <br />_, Building over 10,000 square feot <br /> Oocupant load over 300 pemons <br /> Manufactured Dwetlng p~ Pa~ <br /> <br /> Submit 2 sets of plans with any of <br /> Tempon~-y conslrucl~on r~rvlcee do not apply, <br /> <br />Al. Enter total of fees from Sec, ~, $. <br />A2. Add 5% surchasge (.LIS x A9 $ <br /> <br /> : Sub~otal $, <br /> <br />B. Enter ~%oflineAl for plan Review <br /> (Sec, a). if mquired <br />C, Invesliga~i~x~ Fee (if re~imd) <br />D. Reinspeaion Fee ($25.OO) <br /> <br />TOTAL AMOUNT DUE $. <br /> <br /> <br />