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FOR OFFICE USE ONLY' MARION COUNTY BylLDING INSP~ _~1~" <br />Received by: '2.20 High Stxeet NE <br /> <br />Date: ' Salem Oregon 97301 <br /> <br /> ELECTRICALPERMITAPPLICATION FEB 0 1 ~994Date~UILDtNG <br /> Please complete afl Sections, I though 5 d - - <br /> " MARION COUN~yssue <br /> <br />1, LOCATION OF INSTALLATION <br /> <br />199,~ <br /> <br />~, I ~rmit No. <br /> <br />BUILDi <br /> <br />F~ iNSr~uiiuN <br /> 4. lm~ SCHEDULE (C~pl~,te and ~[cr to~ in A 1 ~low) <br /> <br /> Number of Insp~tions p~ pe~tt allo~d ~ <br /> A. <br /> R~denttal <br /> Per <br /> Unit <br /> Se~tce l~e~flea: ~s Cost (e~h) S~/ <br /> l~se. ft. ~Es~ $85,00 ~ 4 <br /> <br />c¢ portion thereof $15,00 <br />Lirnltcd Energy $20,00 1 <br />Each Manufd Home or Modulsr <br />Dwelling Sevv;i~ or Feedex $40,00 -- 2 <br /> <br />B. $erv/ces or Feeders (Does not inlcudc branch circuits, se~ secdon D) <br /> Installation, Alterations or Rdocation <br /> 200 amps or les~ $~0.00 . 2 <br /> 201 amps tO 400 amps $60,00 2 <br /> $100.00 2 <br /> $130,00 ~ <br /> ovvohs $300.00 8 <br /> $40,00 __ 2 <br /> <br /> 2A. CONTRACTOR IN$~I'ALLATION ONLY <br /> <br /> P~ny Owner <br /> <br />~, ~on~o~ Boa~ R,g. No. m~N ~ J Job No, ~, 2 I <br /> <br />5B <br />this <br /> <br />property Owner <br />Mailin ELEC. STARTED IN COMPUTER 9052586" <br />C~ty/S~ FOuR PUMP FROM 'GROSSMAN WELL DRILL <br /> <br />l~se, e I.. RETURN FOR sIGNATURE OF SUP. <br /> s~c. <br />0~: 2.IS THZS PUMP FOR THE WELL OR <br /> SEPTIC SYSTEM. . <br /> <br /> WE NEED ELBC. FOR BOTB O~ ~ <br /> ABO~ . iOn <br /> h <br /> <br />This <br />requ <br />and ~ <br /> <br />DOTTIE <br />1/27/94 <br /> <br /> b) ircut* <br /> ~ l <br /> <br />~}Mbcellaneous arvice or Feed, <br /> <br /> ~ch additional lnsp~tf0u <br /> ~er ~e ~ow~bN ~ ~y ~ ~e <br /> <br /> Mtaor Iasallatlan <br /> Pa~ ~ 10 la~ls ~ ~,00 ca& $50,00 <br /> (sold only to electrical co~ractors) <br /> <br /> Other <br /> ( A~ mqulred by BaiMing <br /> <br />5. FEES <br />Al; En~r total of fees from Sac, #4 $ /"~ '~- <br />A2, Add 5% surcharge (105 X Al) $ ~ <br /> <br /> Surreal $ <br /> <br /> B. Enmr ~%of~eA1 for~nReview <br /> (S~. 3). if ~q~ $ <br /> <br /> ~TAL AMOU~ DUE <br /> <br />~2 <br /> <br />MC 15-34 1]/91 Receipt No. <br /> <br /> <br />