Laserfiche WebLink
.................................... ] MARION COUNTY BUILDING INSPECTION <br />: I"OR Cl'f¥ USE ONLY ~CE~D~/ 315C, Loacaster Dr. NE - Sut,e C <br />Received By: .......... Da c ~ Salem, O~gon 97305 <br /> 7~.i.~ ~y: .City: ~ 8:{~am - 4:30pm 24 HR lns~lion Line 373-~27 FAX 588-7948 <br /> <br />:Receipt#: __Amoum:$_,I JUL 23 1999 <br /> ELECTRICAL PERMIT APPL1CAT! ".'~),O~CsOp~TT~O~ <br /> Please complete all Sec~'ons, <br /> <br />L LOCATION OF INSTALLATION <br /> <br />Parcel ID: <br /> <br />PER[IIITS ARE NON- TRANSFERABI~ AND EXPIRE IF WORK <br />I$ NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF <br />WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />Mailing Address: <br />City: State: Zip: <br /> <br />I am the PROPERTY OWNER and own, reside in, or will reside in <br /> <br />understand that I must register as tt construction co~tractor if the <br />structure is sold or offered for sale before or upon completion. Iii <br />hire subcontractors, I will hire only subcontractors registered with <br />the Construction Contractors Board. If l chonSe my mind oad do <br />hire a general contn~ctor who tS registered with the Cot~truction <br />Contractors Board. I will immediately notify Matqon COunty of the <br />name of the contractor <br /> <br />3-. PLAN Rlg¥1EW SECTION <br />' Marion County doet{ not require a plnn review, We will provide plan [ <br />review service if you complete Section 5B and submit two (2) Sets of <br />plans and specifications with thi~ application. <br /> <br /> Number of Inspections per perndt allowed <br />A. Resldeotlal Per Unit Service Included: <br /> items Cost (each) Sum <br /> <br />E. Mlseellnneeos {serdee or Feeder Not inel~ded) <br /> <br /> above, per Impeelion __ x $50.00 = $ <br /> <br />FEES <br /> Al, Enter total of fees from Sec. <br /> A2, Add State Sun:liar{ir. (.05% x <br /> <br />SUBTOTAL <br /> <br />B. Enter 30% of line A l for Plall Review <br />C, Investigation Fee (if reqUired) <br />D. Reinsl~etion F~. ($50.00) <br />E, Additional Pla~ ReView ($62,50./~'.,: <br /> minimum Ulie.half hour) <br />E lnspectimi for which n6 fee I{ s0eciflcaily indicated, <br /> ($62.50/hr~ minimum uae hoao <br />0. Inapeotion Ouls{d~ Nm~ta{ I:iust~ <br /> ($62.50/hr, minimUm tWO hoarS} <br />H. Indusklal Pl~t <br /> <br />TOTAL AMOUNT DUE <br /> <br />$ <br /> <br />MC 15-34 Rev 9/98 <br /> <br /> <br />