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Date: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> _ 220 fligh Street NE <br /> SaJem, Oregon 97301 <br /> <br />Phone 58~5147 8,1X) a,m,, - 4;30 p,,m. <br /> <br /> FAX: 588-7948 <br /> I <br /> <br />Phone <br /> <br />21~. FOR OWNER II~TALLAllQI~ <br /> <br />Property Owner <br /> <br />'~elling Address <br /> <br />OIty/State/Zip <br /> <br />The installation is being made on proper~y I own which is not intended far sa[a, <br /> <br />SITE <br /> <br />Date: <br /> <br />Permit No. <br /> <br />Issued by: <br /> <br />4. FEE SCHEDULE (Complete and enter total in A~ below) <br /> <br />Numbe~ of [nepe~flons per permit allowed <br /> i <br />A, Reeldentlal~ Single et Items x <br />Multi.Family per dwelling unit <br /> <br /> 1500=q. ft.~,le~ --- $ 85.. 4 <br /> Ea=h =dd1500 sq. ~t. et po,'~n $ 15. <br /> Each Mfg..'~J Home or Modular <br /> Dwelling service ar feeder $ 3& 2 <br /> <br />B. Service/Feeders <br />(10 Brar~h Clr~t~ Induded) <br /> <br /> 100 amps or less 2 <br /> 10~ amps to 400 amps ~ $ 35, <br /> 401a~tpeto600a~:~ --- $ 80, ,,L 2 <br /> 601 ampetO 100OampS ~ $130, 2 <br /> Over 1000 emps or volts $300 -- 2 <br /> ReeOenant Only <br /> <br />C. Teml~rmy services/Feeders, <br /> <br /> 200 amps er less ~ $ 35. __ 2 <br /> 201 ampste 4~0 ampe $ 40. 2 <br /> 401 amps to 600 amps ~ <br /> Over 600 ~s or 1000 volts (See 4B) <br /> <br />D. Branch Clmulte <br />New, Aitst~tlon or Extsn~ion Pe~ Panel <br />OneeJ~ult $ 35. -- 2 <br /> Two to ten clrcuits __ $ 50,, __ 2 <br /> E~hadd'lten=licutt~orport~n $ 15, ~ 2 <br /> <br />E. Mlecelleneeue <br />(Service o/ Feed~ pot IncJud~ <br />Each pump erlrrigat~n cy=le $ 36. ,, 2 <br />Eech sign or outline lighting ~ $ 36, 2 <br />Signal clmalt(s) or ~ limited en~rW <br />penal, a~ration er extension ~ $ 36, __ 2 <br />F. Eanh edd"l Inspeetten <br />over the aJloweble in any of <br />the above, par inSpact~n ...... $ 3.5, __ <br /> <br />G, MIr~r Instegetlon Lebels <br /> Pe~,k of 10 labels @ $5,0Q ea=h ~ <br /> (Sold only to electrical ~ntracters) <br /> <br />H. Other <br /> (As required by mi;=ng Offlda;) <br /> <br />PLAN REVIEW 5ECliON <br />Check appmpdate item and ent~r fee ln SeclJon SB, <br /> <br />Submit 2 ~ of p~ar~ with any of ~he above. <br />Temporary con s~u=tion sewlces do n~ apply, <br /> <br />MC 15-~4 Rev.. ?,!;0 <br /> <br />A~. Enter mai of fees from See, #4 <br />A~. Add5% surcharge (.0SxA0 <br /> <br /> ~ubtota[ <br /> <br /> B. Enter 25% ef line A~ for Plan Review <br /> (Seo, 3), if required <br /> C. investigadee Fee (if required) <br />*, D. Reinspe~don Fee ($25,00) <br /> <br /> TOTAL AMOUNT DUE <br /> <br /> <br />