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FOROFFICE USEONLY I MARION COUNTY BUILDING IN N,~'f~: <br /> Recelved by: ' 220 Iggh Street NE ~e [00 <br /> <br /> FAX: 588-7 <br /> ELECTRiCALPERMITAPPLICATION dhNO 4 %e oF ce - <br /> Please complem ali Sections, lthmugh5 M~RION C0UNI~ ~ r~ ~ ~ <br /> <br /> B. Ser~ or Feeders (~s .ot ~lcude ~n~ ¢,~t~, svc ~cc~on <br /> P~S ARE NON-~S~BLE ~D NON~AB~ ~ 2~ am~ ~ less <br /> E~E ~ WO~ I~ NOT 8T~'i'~ W~ 180 DAYS OF ~SU~CE ~1 ~ to ~ ~ps <br /> OR IF WORK IS SUSP~ED FOR 180 DAYS. ~1 am~ ~ 1~ am~ $130,~ <br /> <br /> 2A. CO.RAZOR INhALaTION ONLY <br /> <br /> ~ ~,~ Ph~e ~. 201 ~ps to ~ ~ps $4000 <br /> <br /> Pm~ny Owner <br /> <br /> Contractor'a <br /> No,, <br /> <br /> F~I bmn~ cimmt $3g 00 <br /> 2B. POR O~ER IN~ALLAWIONS Each ~difi~aI bmn~h ~u~t <br /> E. Ml~ellan~as (Service Or Fe~er Not incloded) <br /> 4000 <br /> P~ny O~ner ~ ~mp ~ ~ ~r~ $ $4000 <br /> ~ ~ign or oufllne l~ght~g <br /> <br /> ~er ~e ~owab~ m any of <br /> Pack ~ I0 Ia~ ~ $5.~*a~ $~00 <br /> <br /> 3,, PLAN RENEW SE~ION <br /> <br /> 5. FEES <br /> We will provide pl~ review ~ice if you comple~ S~fion <br /> AL ~tcr t~M of fees from $¢c, g4 <br /> 5B and submit two (2) ~ts of plans and s~ifimfions wi~ A2. Add 5% surcha~e (05 x A 1) <br /> th~s application. SubtouI $ <br /> <br /> This optional plan review pmg~m d~ not sus~nd the ~ Enmr ~% of ~e A 1 for Plan ~view <br /> (Sc, 3),, if ~q~ $ <br /> requlr~ submission of lighting ~wer c~culations, phns, C,, ~ves6ga~ Fee (d ~m~d) <br /> and s~ificafions when ~uir~ by the Oregon Smct~ D. Reins~ti~ Fee ($~ <br /> S~ciMty C~e, Chapter 53. ~TAL AMOU~ DUE <br />MC 15.34 11~91 Recei~ No ,.,,~ <br /> <br /> <br />