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FOR OFFICE USE ONLY <br />Received by: <br />Date: <br /> <br /> MARION CO .UNTy.BUILDING INSPECTION <br /> 220 High Sll~t NE ~ ~'~ <br /> Salem, Oregon 97301 ~ <br /> Phone 588-5147 8:00 ~. 4:30pm <br /> Cod~-A-Phon~: $S$-7904 <br /> E~: 5SS-Te4S SITE#: 93-00609 <br />ELECTRICAL PERMIT A?PL!CATION[ Date: <br />Please complete afl Sections, 1 through 5 ~ Issued by: <br /> <br />1993 <br /> <br />MARION COUNTY <br /> <br />BUIE'DING INSPECTION <br /> <br />Description <br /> <br />l PERM1TS ARE NON-'iF, ANSFClRABLE AND NON-KEFUNDABLE AND J <br /> EXt:}IRE/~ WORK IS NOT STARTED WrlFEN lse DAYS OF ISSUANCE <br /> OR IF WORY-. IS SUSPENDED FOR 180 DAYS, <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />Electrical <br /> <br />Mailing Address <br /> <br />Property Owner J Phone <br /> <br />Coatraceor% Board R~,g, No. <br /> <br />Signature of Supe~ising Electfie, la~ <br /> <br />Supervisor's kice~sc No. <br /> <br />FOR OWNER iNEi'ALLATION$ <br /> <br />JJob No. <br /> <br />Phone No. <br /> <br />3, PLAN REVIEW SECTION <br /> <br /> We will provide plan review service if you complete Section <br /> 5B and submit two (2) sets of plans and specifications with <br /> this application. <br /> <br /> This optional plan review program does not suspend the <br /> required submission of lighting power calculations, plans. <br /> and specifications when required by the Oregon Structural <br /> Specialty Code. Chapter 53. <br /> <br />MC 15-34 11/91 <br /> <br />4. FEE SCHEDULE (Complete md enter total in A1 below) <br /> Number of Inspections per permit allowed ~] <br /> <br />A- <br /> Res~denEal <br /> Per <br /> Unit <br /> / <br /> Service Included: It~a~ Ca~t (~ach) Sum <br /> <br /> 10~O sq. f~. or less $85,00 4 <br /> Each ad4iaom1500 sq. ft. <br /> ~ pottio~ th~mef $ ~ $.00 <br /> Limited Fmerg $20,00 -- 1 <br /> Each M~nufd ~ome or Modular <br /> Dwe. Eing Service or F~ed~ $'~0.00 ~ 0. ~ 2 <br /> <br />B. Services or Feeders (Do~s no~ inlcade branch circuit-% see ~eet~on D) <br /> <br />201 ~mps to 400 amps <br />Over ~ amps or I~0 volts <br /> <br />a) The fc~ for branch e/rcuits with <br /> <br /> Each addifiollaI branch clrctfit <br /> <br /> Each pump or ~rrlgafion cirele <br /> <br /> $~snal cS~eu~t(s) or a hn~ted energy <br /> <br /> (As required by Building Official} <br /> <br /> ~50,00 __2 <br /> 60,00 __2 <br />$100.00 2 <br />$130.00 __2 <br />$800.00 .... 2 <br />$40.00 __2 <br /> <br />$S$,00 <br />$40.00 <br />$80,00 <br /> <br />$2,00 <br /> <br />$35,00 <br /> $2.00 <br /> <br />$40.00 __2 <br />$40.00 __~ <br /> <br />$40,00 <br /> <br />$35.00 <br /> <br />$50.00 <br /> <br /> FEES <br />Al, lgnter total of fees from See, #4 <br />A2. Add 5% surcharge (.05 x A 1) <br /> <br /> Subtotal <br /> <br />B, Enter 25% of line A 1 for Plan Review <br /> (Sec. 3), if re~qulrcd <br />C, Invc*tigat/on Fee O/ required) <br />D. Reinspecaon Fee ($25.00) <br /> <br /> TOTAL AMOUNT DUB <br /> <br />40.00 <br />2.90 <br />42.00 <br /> <br />Reeeil~ No, <br /> <br /> <br />