Laserfiche WebLink
FOR CITY VALIDATION] <br />R~ei~exi by:. _ _ <br />Date: · <br /> <br /> MARION COUNTY <br />",BUILDING INSPECTION DIVISION <br />3150 LANCASTER DR NE - SUITE C <br />SALEM OREGON 97305-1398 <br /> <br /> 24 hr. luspectloK,Llue 3734427 <br />O~ice: Phone 588-$147 ;8:00am -4:30pm <br />FAX: 588-7948 <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all ~ectlons, I through <br /> <br />L LOCATION OF INSTALLATION <br /> <br />PERMITS ARE NON-TRAN~LE AND I~PIR~ n~ WORK IS NOT <br /> ST~'r~ wrmm tm DAYS OF mSUAXc~ O <br /> WORK IS SUSPt~qDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />Phone~ <br /> <br />Property Owner <br /> <br />Signaa.u'c of Supervising Electrician <br /> <br />'[ Phoneg <br /> <br />2B. FOR OWlq]~R nqSTALLATIONS <br /> <br />Mailing Adders ~/a~. /~ [ Pho~ <br /> <br />3. PLANR~VIEW SBCTION <br /> <br />Marion County doe~ not ~equim a plan review. <br />We will provide plan review service if you complete <br />Section 5B and subn~it two (2) sets of plans and <br />specifications with this application. <br /> <br />PERMIT NO: <br /> <br />Date: <br /> <br />Issued by: <br /> <br />4. FEE SCH H DUT..I~ (Complete md ~ tend ia Al bdow) <br /> <br />I~ ~ ~ ~ I~ $85.~ 4 <br />~h M~fa¢~ H~e or Modul~ <br /> <br /> ~1~ $1~ <br /> s~ "B'a~ve': <br /> <br /> N~', 'Alte~a~o~ ~ Extension P~ Panel <br /> a) ~ fee f~ b~h c~ui~ wi~ ~ ~ <br /> ~ b~e~t . <br /> $ <br /> <br /> b) ~e f~ f~ ¢i~ wi~out <br /> ~m~eof ~i~br f~er f~ <br /> <br /> ~eh addi~nd ~ch c~t $ 2.~ <br /> <br />~ p~p ~ ~n c~lc ~.~ 2 <br />~ si~ or ou~e H~t~g ~.~ 2 <br />Si~ c~s) or a ~il~ en~ <br />p~ ~t~ or ~ion ~.~ 2 <br />F. ~ add~ ~ion <br />~cr ~ a~able ~ ~y of ae <br />~v~ ~ ~n $35,~ <br />O. M~ ~ ~b~ <br />~ck of I0 ~ ~ ~.~ ~ch $~ <br /> <br />H. 0~ <br /> (~ r~ &~ B~l~ O~e~I) <br /> A~ Dw¢H~ ~Mcal F~ __sq. fi. x $.06~ = <br /> <br />MC 15-$41/96 <br /> <br /> <br />