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Da, FOR OFFICE USE ONLY MARION COUNTry BUILDING INSPECTION ~ <br />Re~ived by: 220'High smut NE <br /> <br /> ~: . Salem, ~g~ ~301 <br /> <br /> ELECTRICAL PE~MIT APPLIGATIO~ oate:l~ <br /> Please complete afl Seaions, thwugh S <br /> .... <br /> <br />PI~-,..MI'~ ARE ~N-~B~ ~ NON-~AB~ <br /> ~ ~ WO~ ~ NOT ST~ ~ l~0 DAYS OF <br /> OR · WO~ ]S SUSP~ED FOR I SO DA~. <br /> <br /> CONTRACTOR INSTALLATION ONLY <br /> <br />...... ' , <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br />Mailing Address ,,Phone <br /> <br />City/St a~'Zip <br /> <br />The imt~0_l~fion iz being made on prol~rty I own whim is net inten&d for sale, <br /> <br />Owners S~gnature <br /> <br />3. PLAN REVIEW SECTION <br /> <br />We will provide plan review sendce if you Complete Section <br />5B and submit two (2) sets of plans and specifications with <br />this application. <br /> <br /> This optional plan ~eview program doez not suspend <br /> required submission of lighting power calculations, plans, <br /> and specifications when required by the Oregon Stmcturzl <br /> Specialty Code, Chapter 53. <br /> <br />MC 15-34 11/91 <br /> <br />10(:0 sq. it. ot le~s $e5.00 <br />lhoh acld~iona1500 sq. in <br />~ ~ ~of $15,~ <br />~ ~ $20.00 <br />~.M~d ~e ~ M~r <br />~ ~ ~ ~ ~ $40,00 <br /> <br />B. S~ or F~em ~s n~ ~de ~ awd~, s~ sec~on <br /> ln~laflo~ Al~flo~s ~ <br /> ~ ~ ~ less r $~,00 <br /> <br /> ~1 ~ W~p. $100.~ <br /> ~1 ~ ~ l~ ~ $1~.~ <br /> ~ 1~ ~ps or v~ $~,~ <br /> ~y $~.00 <br /> <br />C, Tempor~'y <br /> <br /> 200 ~un~ or less ....... $35.00 . 2 <br /> ~1 ~ps to ~ am~ $~,00 2 <br /> ~1 ~ps~am~ ~ $~,00 <br /> ~ ~ ~ps ~ 1 ~ <br /> <br />D. Bran~ <br /> <br /> pu~hase ~ se~.~ f~er ~9 <br />/' ~ ~ ~it ~ <br /> D~ f~ f~ b~ d~ts ~out <br /> <br /> ~ ~&fi~ b~ch ~ $~.~ ....... <br /> <br /> ~ ~ ~ ~ hgh~g $40.00 <br /> ~a, gm~on ~ ~i~ ~ $40.00 <br /> <br /> F, ~ch additional <br /> ~e ~owa~ ~ ~y of ~ <br /> ~, ~ h~cfion $35,~ <br /> <br />G. Mlao~ la~llafloa <br /> <br /> (~o~ o~ to dtetri~l <br /> <br />H. 0~ <br /> <br /> <br />