Laserfiche WebLink
FOR CITY VALIDATION <br />R.e~eived by; <br />Date ,, <br /> <br />MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CBNTER <br />285 Church St NE · Room 132 <br /> Salem, OR 97301 <br /> <br />24 Hr In~pe~tloss Lin~: 5g~7904 <br />Office: 588-5147 8~00 ~..m. - 4:30 p.m. <br />FAX: ~88-7948 <br /> <br />IELECTRICAL PERMIT APPLICATION <br />,,P/ease ,complete al~ ?ections, I through 5 '[ <br /> <br />1. LOCATION OF INSTALLATION <br /> <br /> P~S A~ NON-~N$~B~E AND ~ <br /> STAR~ ~HIN ~ ~ DAYS ~F iSSUANCE OR <br /> <br />~A. CO~RA~TOR ~ST~LATION O~Y <br /> <br />3. PLANRBVIi/W SI/CTION <br /> <br /> Marion Cotmty does not require a plan review, <br /> We will provide plan review service if you complete <br /> Section 513 sod submit two (2) sets of plans and <br /> spec float OhS with this application, <br /> <br />M£? L$...14 12/94 <br /> <br />PERMIT NO: <br /> <br />Date: <br /> <br />Issued by: <br /> <br />4. F17~7 $CH]~DLILE (Complete and enter total in A I below) <br /> Nulllber of ln~pecllon~ per permit Mlowed <br /> Unit <br /> <br /> amps to ~0 am~ <br /> amps tO <br /> <br />T~mp~ary ~rvi~er$ <br /> 1 amps to ~ amps <br /> <br /> p~ of se~e <br /> <br /> roqoircd by BuHdi~, O~cia0 <br /> <br />$50,00 __ 2 <br />$60,00 -- 2 <br />$100,00 -- 2 <br /> <br />$300,00 ,,, 2 <br />$40,00 -- 2 <br /> <br />$35.00 --~ 2 <br />$40.~0 __. _ 9_ <br />$80.00 .... 2 <br /> <br />$ ZOO <br /> <br />$35 .(Iii <br />$ 2,00 <br /> <br />$40,00 __ { <br /> <br />$40.00 2 <br /> <br />$35.00 ---- <br />$$0.00 -- <br /> <br />~.(l,x$.06 '-- <br /> <br />5. FEES Al. }~nter [otaJ of fccs fiDm Se~. #4 <br /> A2. Add 5% surcharge 605 x Al) <br /> <br />8~btotal <br /> <br />B. Enter 25% or line A 1 for PlOn Review <br /> (See. 3), if requi~ed <br />C, Inveatigalion Fee (il'required) <br />D. R¢inspeetlor~ Fee ($25,00) <br /> <br />TOTAL A~IOUNrF DUE <br /> <br /> <br />