Laserfiche WebLink
~ MARION COUNTY BUILDING INSPECTION <br />FOR OFFICE USE ONLY " ' ,~ ~ . <br /> <br />- · .... Salem, Oro~o~97~0~ ~ ~"'~l tm"r~" J <br /> <br /> , ~: 5SS:-Tm; ~ ~: -- Permit No, <br /> P~e~S~ COmplete all Se~ions' 1 through 5 m ~ ~Y",.m "~O~gll~,ed b~- <br /> <br /> 1. LOCATION OF INSTALLATION 4, FEE SCHEDULE (Complete and enter total/Il A I below) <br /> <br /> ' //~ ~/~? ~,~/ A+ R~miden.al Per Unit Number of Inspections per permit allow,a q <br /> Job Addreas ~ ~r <br /> Service lllcluded: ttems Cost (each) <br /> ....... $85,00 <br /> <br /> ~~ffim thereof ~ $15.00 <br /> ~imJ Enemy $20.00 <br /> <br /> Dw~ Semite or Feeder ~ $40.00 <br /> ~'~(~ B. Ser~s or Feeders ~s not ~lc~ branch cim~t~, see aec~ion <br /> Infliction, Aneratlons or Rd~atlon / ..... <br /> P~S ARE NON-~S~BLE ~ NON-~AB~ ~ ~ ~ or less <br /> ~1 m~ [o 4~ amps $60,00 <br /> E~B ~ WORK IS NOT STARTED ~,~ 180 DAYS OF ISSU~CE ~1 m~ to 6~ amps .... $~00.00 <br /> OR IF WORK I8 $YSPB~ED FOR 180 DAYS, ~lam a m 1~0 amps <br /> ..... ~er 1~0 ~ps ~ volts $800,~ <br /> ~ Re~nnect rely $40,00 <br /> <br /> , :'2& CONTRA~OR INSTALLATION ONLY C. Temporary Services~d~s <br /> Installation, Alteration, or Rel~ation <br /> 2~ ~ps or ~ss $35,00 <br /> ~1 ~ps ~ ~0 amps $40.00 <br /> 401 amp~to~O am s $80.00 <br /> <br /> D- Branch Circul~ <br /> <br /> a)~c fm for ~ ~rc~s ~ <br /> purchase ~ se~ O~,~e~ f <br /> <br /> ~eh ~r~ch ~rcult $2.00 <br /> b) ~ihe f~ for b~an~h ~uts wi~out <br /> <br /> First branch ~rcuit $85.00 <br /> Each additional branch circ~t $2,00 <br /> 2B. FOR OWNER INSTALLATIONS <br /> <br /> ~ ~mp or iffigafi~ cite $~0.00 <br /> Pm~ny Owner ~ch sign or ratline llgh~g $40.00 <br /> Phme Signal cimit(s) ~ a H~ted ~y <br /> M~g Address ~nel, alteration or extension $40,00 <br /> <br /> City,tam/Zip E Each additional Insp~tion <br /> a~ve, per ~spec~ $35.00 <br /> '~e irate[laden i~ bang ma~ m pr~ny I own w~ is not ~ad¢d for sale, <br /> ]msc, or ~nt, G. Minor Installation Labels <br /> Pack ~' I0 la~ls ~ $5.00 ea~ $50,00 <br /> <br /> ......... ( A~ ~q~red by ~uildlng Offlc~l) <br /> <br /> 5. FEES <br /> We will provide pl~ ~ew semite if you complete S~fion Al. En er total of fees from Sec, g4 $ <br /> 5B and submit two (2) se~ of plans and sp~ificafions wi~ A2, Add 5% surcha~e (,05 x A 1) <br /> this application, Subtoul <br /> This optional plan review pm~am d~s not sus~nd tho B. Enl~r(s~, 3),25 %if Oimquir~]ine A 1 for Plan Review $ <br /> reqair~ submission of lighting ~wer calculations, plans, c. ~vesfigationFee (~ required) <br /> and sp~ificafions when r~uir~ by th~ ~egon S~ctmal D. Re~s~m Fee ($~5.00) $ <br /> Specialty C~e, Chapter 53. TOTALAMOUm DUE $ <br />MC 15-34 11/91 Rcceip~ No, , <br /> <br /> <br />