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Date; <br /> <br />ELECtRiCAL PERMIT APPLICA'F. ON <br />P,~ase comp/eta a//Sect/ohS, I thr0u~ 5 <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> 22.~,~ High Sb'eet NE <br /> ,, Salem, Oregon 97301 <br /> <br /> ~"P~:F~: ~ <br /> ,, DEC 4 1 90 <br /> issu~ <br /> ,,;~O~ COUNTY <br /> <br /> ~ FEE ~HEDULE (Comple~ ~d emer ~ in A~ bel~) <br /> Number ef Inactions ~r ~rmlt all~ ........ <br /> <br />PARk:IN I'.::.[~EC:TRtf-::, INC. <br />25248 SW OBERST ROAD <br />SHERWOOD ~ OR '~?140 <br /> <br />(]ONTRAL"TORS LICENSE ~ 34-4C <br />'",ONTFJAC'5ORS. BOARD RE'~.-' "' ~¢ 3515! <br />F~UPERVISOI';.' # 896-S <br /> <br />Supervlsor's Lloen~]e No* <br /> <br /> FOR OWNER INSTALLATIONS <br /> <br />Phone No. <br /> <br />Mailing Address [ Phone <br />CItylStato/Zlp <br /> <br />The Installation is being made on property I own which is not intended for sales <br /> <br />Multi-Family per dwelling unit <br />( $ervi~,a indu de8) <br /> 1500 sq, ft or less <br /> Each add*{ 5(]0 aq, It. o~ p~rtion <br /> Each Mfg.'d Home or Modular <br /> Dw611ing so.ice of <br /> <br />El, Servlce/Feedere <br />In~tella~on, Aiteraffons of Relac~tion <br /> <br /> 101 amps to 400 ee'~s <br /> 401 amps to 6oo amp~ <br /> 601 amps to 100o amps <br /> Over t eeO amps or volts <br /> Recomtact <br /> <br />C, Temporary Servlcee/Feeders <br />Ina ta#a~en, Altora~ea or Reteca~m <br /> 200 amps or less <br /> <br /> 401 amps to 600 art.s <br /> Over 6O0 amps or 1000 volts (See 4B) <br /> <br />D, Branch Circuits <br /> <br />E, Miscellaneous <br /> <br /> ~a~h pump or [r~aon eyete <br /> Each sign or outline lighting <br /> Signal circuit(s) or a limited energy <br /> <br />F, Ee~b add'! Inspeeit~n <br /> <br /> ($o,~ only to elac~'ical <br />H. Offer <br /> (As rt~q~tred by Building Official) <br /> <br /> SeO__ 2 <br /> $80. 2 <br /> <br />-- $.300,, -- 2 <br />$35.__ 2: <br /> <br />__ $ ~5. __ 2 <br /> <br /> $50,__ 2 <br />__$~5,__ 2 <br /> <br /> 3. PLAN REVIEW SECllON <br /> Check appropriate item and eater f~e in Eecltea SB. <br /> <br /> ~ Connected Load over 200 amps (except single family dwellings) <br /> , Building system over :L~00 amps (except single family dwellings) <br /> System over 800 volts <br /> __ Building over 2 sto~s <br /> Building over 10,000 square {eat <br />_Oceepant load over 300 persons <br /> Man.faVoured Dwelling Patk/Reca'ea.t~n Park <br /> Hazardous Laca~ns <br /> <br /> Submit 2~ sets of plans with any of the above. <br /> Tempuraq/consti'uclfon services do not apply. <br /> <br /> MC ~ 5.34 Rev, <br /> <br />A~,, Enter total of fees from .Sec,, <br />A~,, Add 5% surd'~ge (,05 x A0 <br /> <br /> ~ubtotal <br /> <br />B. Enter 25% of line A1 for Plan Review <br /> (.~ec. 3). fl mqulmd <br />C. InveslJgation F~ (if required) <br />O.. Relnspee~on Fee ($26.00) <br /> <br />TOTAL AMOUNT DUE <br /> <br />Receipt No. <br /> <br />$ <br />$ <br /> <br /> <br />