Laserfiche WebLink
MARION COUNTY BUILDING iNSI~TION <br /> <br />Received by:, <br />Date~ <br /> <br /> 220 High Sneer NE <br /> Salem. Oregon 97301 <br /> <br />Phono 5ll8-5147 8:~ <br /> <br /> SEP 0 9 1993 <br /> <br />MARION COUN]Y <br />s~T~.LOING INSPECTIOgmlt <br /> <br />iELECTRICAL PERMIT APPLICATION <br />P/case complete afl Sections, I through 5 <br /> <br /> LeGATiON OF INSTALLATION <br /> <br />JobAdd~¢ 9804 Mill Creek Rd. SE <br /> <br />C~ Aumsville, OR ~ c,m.s~ <br /> <br />De~¢dt~tio. LOW voltage wiring for heat pump <br /> <br />installation ....... <br /> <br />PEAMITS AR~ NON-TRANSU~RABLE AND NON.REFUNDAeLE A3~O <br />5~N IF WORK IS NOT ST~D ~ 180 DAYS OF ISSU~CE <br />OA ~ WO~ ts SUSPENDED FOR 1~0 DAYS. <br /> <br />~A. CO~RAC-I'OR INhALaTiON ONLY <br /> <br />M.iB.$A~,, 2320 Primrose St., Lebanon, OR 9735~ <br /> <br /> P,~.yo~.., Larry Klein lpg. 749-2405' <br /> %~mm~[, ~a~ No. 22-122CLE <br /> <br />No. 53862 <br /> <br />Supend~or'~IJcea,eNo. 24 RET <br /> <br />lB. FOR OWNI~R INSTALLATIONS <br /> <br />Mail{nl~ Addr~ <br /> <br />{'Ph~e <br /> <br />Chy/~tst¢,rZip <br /> <br />We will provide plan review service if you complete Section <br />5B and submit two (2) sets of plans and ~pecificafions with <br />this applicalimL <br /> <br /> This optional plan review program does not suspend the <br /> required submission of lighting power calculations, plans, <br /> and specifications when requtxed by the Olegon Strnetural <br /> Specialty Code, Chapter 53, <br /> <br />MC 15-34 11/91 <br /> <br />Dale: Sept. 8, 1993 <br /> <br /> Issued by: .... <br /> <br />4, FEE SCHEDULF~ (Cowpl~t~ ~nd enter total {~ A I below) <br /> <br />tO00 sq. fc or less $~5.00 <br /> <br /> orr~o~l Ummaf . $ ~,00 <br />~it~d Em~v I ~0.00 <br /> <br /> ~ .m~ ~ 1~ $50.00 <br /> ~r I~ ~pa or volts $~0.~ <br /> <br />C, TempOrary Servlces/F~do~l <br /> <br /> 2~ ~p~ or le~s $~5,00 <br /> 20) ~ps to <br /> 401 ~p~ to <br /> <br />D. Branch <br /> <br /> Fj~t b~n~ cJ~ult $35.00 <br /> <br />E. Miscdlan~u~ ($er~[¢~ or Fe~der N0{ Included) ~eh ~lmp <br /> ~ch si~ or ~n~ li~tin~ ~ $40.00 <br /> $ign~ ~fcoh(~) ~ a ~J~a enemy <br /> <br /> F. ~ch addllton~l Insp~tI~ <br /> ~er ~c allowabt~ <br /> <br /> G. Miner in~llntlon <br /> Pack ~ 10 I~s ~ $5.~ ea~ $~,00 <br /> (sold ody to ~ltetdcal co~ctorg} <br /> <br /> B. Other <br /> <br />$. FEES <br />A t, ~nlet tel al of fees from Sec, #4 ~; 20 · OO <br />A2, Add ~% sarcha~e (.05 x Al) ~ --~O <br /> <br /> Subto~ $ <br /> ~. Emir ~% of lt.~ Al ~or ~au Review <br /> <br /> D, Reins~fl~ Fee ~,~) ~ · ~ <br /> ~'FAL ~0~ DU~ $ ~1. O0 <br /> <br />Receipt No. <br /> <br /> <br />