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ELEC - 1531833
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ELEC - 1531833
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Last modified
10/14/2010 3:23:08 PM
Creation date
12/29/2004 8:49:29 AM
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Permits
Permit Address
10714 SILVER FALLS HY SE
Permit City
Aumsville
Permit Number
555-98-10661
Parcel Number
081W17C 01000
Permit Type
ELEC
Permit Doc Type
Permit Document
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F LECTRICAL PERJV[ rr APPLICATION I[/IARION COL, <br />Pl~$~ co~ nosed.s, ~ I*,~f* ~ BUILD{NG INSPI <br /> <br />Cmos S,r ooAZ, imctioos: <br /> <br />I$/VOI'.~"I'ARTED P,q'I'HIIV I$0 D,4Y$ OFIS~U/~IC~ OR IF <br />WORK IS SUSPEIVDED FOR I$0 DA Y.~ <br /> <br />I am the PROPERIT 0197~£R and own. reside in, or will reside in the <br />completed strgcturc and will be my own general contractor. I <br />understand that I tn u~t reg~ter o~ a co~ction con.actor ~ the <br />s~ucmre is sold or offered for ~{e before or ~n completion, Ill <br />here ~ubcont~clort, I will hire on~ $ubcon~ctor~ regi~tergd with the <br />Cons~uction Con~oclor$ Baaed. If[ change my mind and do hire a <br />general con~gctor who i{ registered with lhe Co~ction <br />C on~oc~orm B~d. I wffl {mmed~te~ not~ Marion Coun~ of the <br />~ame aftra con.actor: <br /> <br />· 3. PLAN REV1EWS£CTION <br /> <br />Manoo Coun~ do~ not require a {)lmm rcview. We will provide <br />plan review sm'vice if you c~mplcU: S~'~io~ 5B and submil ~ (2) <br />sets of plans and spccific~liom w~h ~hls applicati~o. <br /> <br />I'VE SCH£DULg (complete lad enter total In Al) <br /> <br /> A. Residential Per UnIL ~lce Included <br /> I~ ~ (~) Sum <br /> <br /> · ~lces or Feede~ ~oes Bo/ia¢lude brsocb Cireui~ ~e ~e~oa D) <br /> <br /> 200~1~ x $65.~ ~ $ 2 <br /> <br /> 401~o~ x ~30.~ S 2 <br /> <br /> C Tem~ <br /> <br /> a) ~ ~ ~ ~ c~i~ ~ ~e ~ha~ <br /> <br />TOTAL <br /> <br />5. FEES <br />Al. Enter Total Fees fi'om ,S~-~on//4 <br />A2 Add State Surcharge (.05% x Al <br /> <br />SUBTOTAL: <br /> <br />B. Enter 30% of line Al for Plan Review <br />C. Investigation Fee, ifmqulred <br />D. Reinspeefion Fee (S$0.00) <br />E. Additional Phm Review (62.50/hr, <br />minimum one-half hour) <br />F. ~spt,~ion for which no fee i~ s~:cifically indicated, <br /> ($~2.50/hr, minimum one hour) <br />G, 'Inspection Ou~i& Normal Bus'mess Hours, <br /> $62.50/lu', minimum two hours) <br />H, Industrial Plato ($62.50/hour) <br /> TOTAL AMOUNT DUE <br /> <br />S <br />S <br />$ <br /> <br />S <br />S <br />S <br /> <br />MC 15-34 Rev 9/98 <br /> <br /> <br />
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