Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br /> <br />COMMUNITY DI~VELOPMENT CENTER <br />285 Church St NE · Room 132 <br /> Salem OR 97301 <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all Sections, I through 5 <br /> <br />LOCATION OF INSTALLATION <br /> <br />p~RM1TS AP,,E NON-TRANSFERABEE AND F, xPnLE 1F WOP, K I$ NOT <br />STAR'I'BD WITHIN 180 DAYS OF I$SUAN~Ig OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS, <br /> <br />2A.,~C OI~RACTOR INSTALLATION ONLY <br /> <br />{ ~rOp~y Owr~r j ~one <br />Sjgnat~ 0f Su~i~in~ Eleotrlci~ <br /> <br />21t. FOR OWNER I~$TALLATION8 <br /> <br /> . . <br />Owner's $~gnat~, <br /> <br /> 3. PLAN RBVIItW $1~CTION <br /> <br />]Section 5B and submit two (2) sets of plans and <br />specifications- with this application. <br /> <br />Marion County does not require a plan review. <br />We will provide plan review service if you complete <br /> <br />MC Lq--?4 12/94 <br /> <br />Dale: <br /> <br />Issued by: <br /> <br />4. FEll SCItr:sDUL~ (Ccntlplete and ~ter to,al h{ Al below) <br /> Re~id~nt il*l <br /> <br />~ach ManufacU~cl Home or Modular ~ L~¢i~2 <br /> <br />601 amps to 1000 amps _ <br />Over lO00 amp~ or volts <br /> <br />a) The fcc for brml~h eit~uits <br /> <br />Min~ l~aJJati~ Labels f <br />~ek of 10 lab~h ~ $5,00 <br /> <br />(~ required by Building O~cial <br /> <br />$~.00 <br />$60,00 <br />St00,00 <br />$130,00 <br />$3oo,o0 <br /> <br />$35,00 <br />$40.00 <br />$80,00 <br /> <br />$ 2,00 <br /> <br />$35.00 <br />$ 2.00 <br /> <br />$40,00 <br />$40.00 <br /> <br />$~0.00 ~ <br /> <br />$35,00 -- <br />$50.00 _ <br /> <br /> ,, .*q. ~. x£06 =__ <br />#ofLabcis__ _['ld~ <br /> <br />5. FEES <br /> Al. Enter total oi'f~ea from See, #4 <br /> A2. Add 5% sumhatge (.05 x Al) <br /> $ubtotal <br /> <br /> E, Eniac 2.5% Of ~n~ A 1 for Plan R~vicw <br /> {Se~. 3~ ifgquJred <br /> C, ]nvastigation Fee (ifgqui~d) <br /> D, Reimpoel}on Fee ($25.~) <br /> <br /> 'I'OT~ ~OU~ DUE <br /> R~eeipt No, ~ ~ <br /> <br /> <br />