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7)FOR CITY VALIDATION] <br /> eeeived By: I <br /> ate: I <br /> ELECTRICAL PERMIT APPLICATION <br /> Please complete all Sections, I through 5 <br /> <br /> MARION COUNTY <br />BUILDING INSPECTION DIVISION <br />3150 Lancaster Dr. NE - Suite C <br /> Saler~ Oregon 97305-1398 <br /> <br /> 24 HR Inspection Line 373-4427 <br /> Office: phone 588-5147 8:00am - 4:30pm <br /> FAX 588-7948 <br /> <br />1. LOCATION OF INSTALLATION <br /> <br /> CROSS STREET/ <br /> DIRECTIONS <br /> <br />PROJECT DESCRIPTION <br /> <br /> PERMITS ARE NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT <br /> STARTED WITHIN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />Mailing Address '~ ~ ~ City <br />Mailing Ad~2s '~ ~ ~ ] Ci~ <br /> <br />S~tmf ~pv. ~l~cian~ <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br /> Property Owner (please print) <br /> <br /> Mailing Address <br /> <br /> City, State, Zip <br /> <br /> Owner's Signature <br /> <br />3. PLAN REVIEW SECTION <br /> <br /> Marion County does not require a plan review. <br /> We will provide plan review service if you complete <br /> Section 5B and submit two (2) sets of plans and <br /> specifications with this application. <br /> <br />MC 15-34 7,/97 <br /> <br />PERMIT NO: <br /> <br />Date: <br /> <br />Issued by: <br /> <br />4. FEE SCHEDULE (Complelc and enter total in A 1 belowi <br /> <br />A. Residential Per Unit <br /> Service Included: <br />1000 sq. fl. or Less <br />Each additional 500 sq. ft, <br /> <br /> 200 amps or less ~ $50.00 <br /> <br />$85.00 --~ 4 <br /> <br />5. FEES <br /> <br />B. Enter 25% of line Al for Plan Review <br />(Sec. 3), if required $ <br />C. Investigation Fee (if required) $ <br />D. Re[nspection Fee ($25.~0) $ <br /> <br />Sulaotal $ ~ <br /> <br /> <br />