Laserfiche WebLink
FOR OFF~CE USE ONLY' <br />ReceiVed by: <br />Date: -' ', ....... <br /> <br />MARION COUNTY BUiLDiNG INSPECTION <br /> 220 High Strex:t NE <br /> Salem, Oregon 97301 <br /> <br /> Phon~ 555-5147 8:00 am - 4~301an <br /> C. odo-A-Pho~: 588-7904 <br /> FAX: 588-794s SITE #: <br /> <br />ELECTRICAL PERMIT APPLICATION I <br />Please complete a. il Sections, I through., 5 <br /> <br />Delcdpdon <br /> <br />"' PERMITS AR E NON.TRANS FERAB Ltl ,MND NON-REFUNDAB LE AND <br /> EXFIR B IF WOP,.K IS NOT STARTED WITHIN 150 BAYS OF ISSUANCE <br /> OR IF WORK IS SUSPENDED FOR ll~O BAYS. <br /> <br />2B, FOR OWNER INSTALLATIONS <br /> <br />Prol~ny Owner <br /> <br />The installation is being made on pmperly I own which is net intended for sal~. <br /> <br />Owner's Signature <br /> <br />3. pLAN REVIEW SECTION <br /> <br /> We will provide plan review serdce if you complete Section <br /> 5tl 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 />reqair~ sabmission of lighting IX}Wet calculations, plans, <br />and specifications when requireA by the Oregon Structural <br />Specialty Code, Chapter 53, <br /> <br />MC 15-34 11191 <br /> <br />Date: <br /> <br />Permit No. <br /> <br /> Issued by: <br /> <br />4. FEE SCHEDULE (Complete ~d ~nter total in A 1 ~low) <br /> <br /> Number of Inspirits p~ ~rmit <br /> <br />A. <br /> R~identlal <br /> Per <br /> Semite inelu4eO: It,s C~t (cs~) <br /> <br /> I~ sq. ~ ~l~s~ $85,00 <br /> Each aa~ 5~ ~t' ~ <br /> ~ '~e~f ., $15.00 <br /> $20,00 <br /> .._ <br />~ Manu~ H~c ~ ~ <br /> <br />B. Se~ or F~ers ~s not ~ud~ ~nch ci rc~, ~ s6c~ <br /> <br /> Installation, Atteration* or Relocation <br /> 200 amps or lca~ <br /> 201 amp Io ~ ~ps $~.00 <br /> ~I ~ m ~ ~ps $100,~ <br /> ~1 am~ m 1~ ~ps $530,~ <br /> ~r 1~ ~ps or volcq $~0.~ <br /> ~e~ ~ly $40.~ <br /> <br /> ~ ~ ~ps or 1~ vogs <br /> <br />B. Bra~h <br /> <br /> b) ~ f~ {~br~ <br /> <br /> F~t bmn~ ~it <br /> Each addi~u~ <br /> <br />E. Mi~aan~us {Service or Peed~rkNl~ Included) <br />~ch ~mp or i~ga~m *iml~ ,,., $40.00 <br />~ch tig~ or <br /> <br />F. ~ch ~diflo~l <br /> <br /> a~, ~ In.on $a5,00 <br /> <br /> ( As ~¢Mred by Building Offlc~l) <br /> <br />5, FEES <br /> <br /> A2, Add 5% su~ha~e (,05 x <br /> <br /> C, Inv~dgationF~ (~ rcql~i~d) $ <br /> TOTAL AMOU~ DUE <br /> <br /> <br />