Laserfiche WebLink
COMMUNITY D EV ~E.L~OP ~M ENT.C~ ~E NTEix <br />· -. ~ 295 Church St ~ · ~oom <br />FOR CiT~[~ATION[ SMem, OR 97301 <br /> <br /> ELEOTRIOAL PERMIT APPLIOATiOH <br /> <br />Please ~omplete all Sections, I through 5 <br /> <br />· LOCATION OF nXlSTALLATION <br /> <br />IpERMITS APE NON-TRANSFlgRABLE AND EXPIRE IF WORK IS NOT <br /> STARTED WITHIN 180 DAYS OF ISSUANCI~ OR IF <br /> WORK IS SIJgPENDED I~OR 150 DAYS, <br /> <br /> 2A. CONTRACTOR I~8TALLATION ONLY <br /> <br />No- <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br /> zc~..qr~ l <br /> <br />3, PLAN REVIEW SECTION <br /> <br /> Marion County does not require a plan review. <br /> We will provide plan review service if you complete <br /> Section 5B and submit two (2) sets of plans and <br /> specifications with this application, <br /> <br />MC 15-.~4 12/fM <br /> <br />4. FBE SCHEDULE (Complet~ and e,g/a' ~otal in A 1 below) <br /> <br />A. <br /> ~n~t <br /> <br /> 10~ sq, ft, or less $85,~ <br /> <br />Limited gnergy <br /> <br /> Dwelling Settee or Feeder $40.~ <br /> <br />401 amps to 600 amps <br />601 amps to 1000 amps <br /> <br /> b) The foo for branch ¢imuita ~ <br /> <br /> (A~ reqoit~d by Building OttloiaD <br /> <br /> $60.00 -- 2 <br />$100.00 2 <br />$130,00 __ 2 <br />$300,00 __2 <br />$40.00 2 <br /> <br />$35,00 2 <br />$40,00 -- 2 <br />$8O.00 __ 2 <br /> <br />$ ZOO <br /> <br />5, FBE S <br /> A 1. Enter total of fees from See, <br /> A2, Add 5% surehax'go (.05 x Al) <br /> <br />$35,00 -- <br />$ 2.00 <br /> <br />B. E~ter 25% of line A 1 £or Plan R~vi{w <br /> (See. 3), if required <br />C. lnveatigation Fee (ifre. qulmd) <br />D. R*inapeotioa Fee ($25.00) <br /> <br />$40.00 2 <br />$40.00 ..... 2 <br /> <br />$35.00 <br /> <br />~t. ti. x$.05 = __ <br /> <br />Subtotal <br /> <br />.,TOTAL AMOUlqT DUE <br /> <br /> <br />