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Recewed by:.. _ <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> 220 High S~x~t NE <br /> Salem, Or~gon 97301 <br /> <br />Phone SdS-St47 S:00 ~ - <br /> ~-A-~: 588.7~ <br /> F~: 588-7~8 <br /> <br />IELECTRICAL PERMIT APPLICATION <br />Please complete afl Sections, I through 5 <br /> <br />pERMITS ARB NON.TRANSFERABLI5 AND NON-REFUNDABLE AND <br />EXPIRE IF WORK IS NOT STAP. TED W ITHII~ 180 DAY/; OF ISSUANCR <br />OR IF WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A, CONTRACTOR INSTALLATION ONLY <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br />Property Owner <br /> <br />MM//ng Addrcs~ Phon~ <br /> <br />No. <br /> <br />The/~staUitiov. b being mad~ orr proFet~ I own whlch is u~ inter, dod for sale, <br /> <br />PI,AN Eg¥1EW SgCrlON <br /> <br /> We will provide plan review service if you complele Section <br /> 5B and submit two (2) sets of plans and specifications with <br /> this application, <br /> <br /> This optional plan review progr&m does not suspend the <br /> required submission of lighting power ca[culations, plans, <br /> and speci£1cadons when required by the Oregon Structural <br /> Specialty Code, Chapter 53. <br /> <br />MC ]5-$4 <br /> <br /> Date: M/4~}ON <br /> <br /> IssuedffiClLDD!6 <br /> <br />A. <br /> R~tdenflal <br /> Per <br /> Unit <br /> g~l~ Included: Itcms C~ (ea~) Sum I <br /> <br /> 1 ~ sq, ft ~ le~s ~ $85.00 4 <br /> Ea~ a~al 5~ ~q, <br /> ~ ~ ~e~of $~5.00 <br /> ~ted ~y $~.00 1 <br /> <br /> B~e~g S~ ~ <br /> ~1 ~ to 4~ ~ps ~ $~.00 2 <br /> <br /> Insgallatlon~ Al/~ratlon~ or Relocation <br /> 200 amps orl*ss ~ $35,00 2 <br /> ~01 *anFa to 400 am~ $40,00 ~ 2 <br /> 401 ~pa to ~ <br /> ~r ~ ~ps or I~ ~olts <br /> <br />D. Branch Clrcui~ <br /> New~ AI/~atlon, or ~slon Per Panel <br /> <br /> a) ~ f~ for ~ch <br /> <br /> ~ch brmch c~cu~ ., $~.~ <br /> b) ~c f~ for brach dmut8 ~i~ollt <br /> <br /> F~t brach ~rcue $~,00 <br /> <br />E, Mi~dlan~u$ ($ervlee or Feeder Not I~cl~ded) <br /> ~ch ~mp ~ i~$afi~ circle _, $40,00 -, 2 <br /> ~ch sign ~ <br /> Signal dm~t(~) ~ a U~md e~rgy <br /> ~nd, ~te~don m ~tmsion ~ $40.00 ., ~ 2 <br /> <br /> a~.'~v~ , -:' '$aE00 ' <br /> <br />G. Minor Ins~liatlon <br />Pack of 10 Ia~ls ~ $5.~ each $S0,00 <br />($oM only to electr~al co~ractom) <br /> <br />H. Other <br /> ( A~ mqdr~d <br /> <br />Reeei No, <br /> <br /> <br />