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Da~e: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> 220 High S~ee~ NE <br /> saJer~ Oregon 97301 <br /> <br /> Phone 588~147 8:00 a.m. - 4:30 p.m, <br /> Code-A~P hane: 588-7904FAX: 588-7948 SIT;:#; 1 (...{fl j ~, Permit No, ~'~(~ I ~ <br /> Da~: <br /> <br />issued by: <br /> <br />1. LOCA11ON 13: INS'lrN.,LA~(~I <br /> <br />Property Own°.' <br /> <br />Property Owner <br /> <br />Phone <br /> <br />The installation is being made on property I own which is not Intended for sale <br />lease or rent, <br /> <br />PLAN RE'VIEW SEC3ION <br /> Che~ appmpr~te/tern and e~- f~e/n .Eec#an 5B, <br /> <br /> Connected toad over 200 amps (except single family dweffmgs) <br /> Bui~ng system over 200 amps (except single tsmily dwet[ings) <br /> System over 600 volts <br /> Building over 2.ste~es <br /> Buiidlng over 10,000 Scluam feet <br /> Oc. oJpant lead ov~r 300 pe~.ofl$ <br /> <br /> Hezardous Loca~n~ <br /> <br />Submit 2 sets of plans wilfl any of the ebove, <br />Temporary cg~struct~on service~ do not apply. <br /> <br />4. FEE SCHEDULE (Complete and enter totel in At below) <br />Number of <br /> <br />A. Residential, Single or Item~ x Cost = Total <br /> <br /> Each Mfg.'d Home or Modular <br /> I~lleg service of feeder <br /> <br /> 101 ~~ <br /> <br />(~ ~ F~ ~t ~) <br /> <br />2 <br />2 <br /> <br />2 <br /> <br />2 <br /> <br />2 <br /> <br />2 <br /> <br />B. Ente~ 2~% of li~e A1 ~ Plan Review <br /> (Se~_ 3), if required <br />C. InveslJgal]~] Fee (if I~luired) <br />D. Ra..~,~io. F~ <br /> <br />TOTAL AMOUNT DUE <br /> <br /> <br />