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RecaP/ed 220 High S~eet NE <br />Date: ?1.~ ~/ Salem, Oregon 97301 <br /> ~hone 588~d~7 B8.'~a ~ - ~.m. <br /> <br /> Ple~~, 1~5 J ~.~' -~ ~ ' <br /> ARtON COU T <br /> <br />Directions; / <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br />SITE #: Permit No,, <br /> <br />Issued by: <br /> <br />~ MelB-F~mlly per ,~welllng unit <br /> <br />$ 15 <br />$35, <br /> <br />( $ervice induded) <br /> <br />1500 sq,, ft,, orle~ <br />Each =dd'1,500 sq,, fl. or per,on <br />Each Mfg'd Home or Modular <br />Dwelling service or tee~er <br /> <br /> 100 amps er le~ $ 35, <br /> 101 ampste4OOamps ~ $ 60. <br /> 401amps to 60O amps __ $ 80. <br /> 601 erwps te 1000 amps __ $130, <br /> Over 1000 amps or volt~ __ $S00, <br /> ReacnneclOnly __ $ 35, <br />C:. Tsmlx~mty Services/Feeders <br />Ins~l~g~n, Altera Eon or Reloce#on <br />200 amps or less <br />201amps to 4OO amps __ $ 40. <br />401 amps te 600 ern~ <br />Over 6o0 emp$ er 1000 veils (See <br /> <br />D. Braneh CIn=:ults <br />New, Ai~mSen or Ex~nsl~ Pe~ Panel <br />One oircui! $ 35, <br />Two te ten el~u[ts $ 50. <br /> Ea~haddlten~imuitsorporlJon __ $ 15 <br /> <br /> Each Psn~ or It~jatlen cycle <br /> Eech sign or euIline itghtlng -- $ 36. <br /> ~l~naJ eizcuit($) er .a limited sne~Jy <br /> panel, alteration or extension __ $ ~, <br /> <br />F, i~sh add'l InspeetJon <br />over the allewable In ,any of <br />the ~bovea per inspection -- $ 35. <br /> <br /> ($el~ armory lo et~:;~/Gal eo111~ete~) <br /> <br /> (AS mqulrg~ by gutl~ng <br /> <br />Property Owner <br /> <br />Contract~ License N~, <br /> <br />Con~raolora5 Board Reg,, No,, <br /> <br />Signature of Supervising Eleoth~[an <br /> <br />Sapervisor's License No,, <br /> <br />I Job NO~ <br /> <br />I Phone No. <br /> <br />FOR OWNER ~STALLA'IIONS <br /> <br /> ~ on~ ~n wh~ah ~ not ~n~ended tot ~le, <br /> <br /> ~LI~ REVlEW SECIlON <br /> Check appro~ate item and enter fee in Seetion SB. <br /> <br />__ Conned~d Load over 200 amps (except single family dwellings) <br />__ Building system over 200 amps (except single family dwellings) <br />__ System over 600 vol~ <br />__ Building over 2 steries <br />__ Building over 10,000 square feet <br /> Oc, x~u pant lead over 300 persons <br />__ Manufa=tered Dwelling Patk/~n Pa~k <br />__ Ha~dous LecalJons <br /> <br /> Submit 2 sets of plans wi~ any of Ihs above. <br /> Tempera~y consa~c~on san4ces do not apply. <br /> <br />At. Enter total of fees from Sec,, e4 <br />A~. Add5% surcharge (,,05xA~) <br /> <br /> Subtotal <br /> <br />B. Enter 25% of line A~ for Plan Review <br /> <br /> TOTAL AMOUNT DUE <br /> 7 <br /> <br /> <br />