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Received By: I <br />Date: I <br /> <br /> MARION COUNTY <br />BUILDING INSPECTION DIVISION <br />3150 Lancaster Dr. NE - Suite C <br /> Salem, Oregon 97305-1398 <br /> <br /> 24 HR Inspection Line 373.4427 <br /> Office: phone 588-S147 8:00am - 4:30pm <br /> FAX 588-7948 <br /> <br />Please complete all Sections, 1 through <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />DIRECTIONS <br /> <br />PROIECT DESCRIPTION <br /> <br />PERMITS ARE NON-TRANSFERABL~ AND EXPIRE IF WORK IS NOT <br />STAgFED WITHIN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br />Property Owner (please ptinO <br />Ma~ling Addxess <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 />PERMIT NO: <br /> <br />Date:. <br /> <br />Issued by: <br /> <br /> 4. FEE SCHEDULE (Complete and enter total in Al below) <br /> Number of Inspections per ~ermit allowed <br /> <br /> Servi¢~ Included: hems Coat (each) Sum <br />'~e' k~ular Dwelling Service or Feeder $40.0~ <br /> <br /> 5. FEES <br /> <br /> C. Investigation Fee (if v~quimd) ~ ~ <br /> <br />MC 15-34 7/97 <br /> <br /> <br />