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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 Inspection Line 373-4427 <br /> Office: phone 588-514/ 8:0O~m - 4:~0pm <br /> FAX ~88-7~48 <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all Sections, I through 5 <br /> <br />1. LOCATION OF INSTALLATION <br /> <br /> CR~S S~/ <br /> ~ONS <br /> <br /> ST~ ~ 180 DAYS OF ~SU~CE OR WORK IS SUSP~ FOR 180 DAYS. <br /> <br />2A. CONTIO, CTOR INSTALLATION ONLY <br /> <br />FOR OWNER INSTALLATIONS <br /> <br />3. PLAN REVIEW SECTION <br /> <br /> Marion County does not require a plan review. <br /> We will provide plan review service ff you complete <br /> Section 5B and submit two,(2) sets of plans and <br />I specifications with this appdcation. <br /> <br />PERM1T NO: <br /> <br />Date: <br /> <br />Issued by: <br /> <br />FEE SCHEDULE (Compinte ~,d e~t~ total in Al b~low) <br /> Nmllbe~ of I~pect~ms l~r p~rrmt allowed -~ <br /> <br /> Items Cost (e~h) ~ I <br /> <br />~. ~. x $.0~ =__ <br /> <br />MC 15-34 7/97 <br /> <br /> <br />