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FOR CITY VALIDATION <br />Received by: <br />Date: ] <br /> <br />MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br />285 Church St NE · Room 132 <br /> Salem. OR 97301 <br /> <br />24 Hr ln~pe~-tion Line: 58~-7904 <br />Office: 588-5147 8:00a.m.=4:30p,m_ <br />FAX: 588-7948 <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all Sections, 1 through 5 <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />Dir~tiom <br /> <br />......... PERMITS ARE NON-TRANS'F~P~BLI~ AND EXPIRE IF WORK <br /> STARED ~H~ 1 ~ DAYS OF ISSUAN~ OR l~ <br /> WO~ I$ SUSP~D~ FOR 180 DAYS, <br /> <br /> ~. CO~RACTOR ~LATION O~Y <br /> <br />3. PLAN RI/VIEW 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' I,~-34 12,/94 <br /> <br />Issued <br /> <br /> 4. FEE SCHHDDI~ (Compl*c~ and cnicr total in Al below) <br /> <br /> ~vi~ Include: l~ms C~t (each) <br /> or ~aion ~of $ i5,~ <br /> <br /> Dw~llng Sc~ice ot Feeder ~f),~) ~ <br /> <br /> B, $~* or F~s (~a ~t in¢lu~ b~nvh ~i~ait~ s~ section <br /> <br /> 201 alnps <br /> ~1 amps <br /> ~1 ampa <br /> Over l~ amp~ or vo]~ ~.00 .... <br /> Re~oae~t only ~,00 <br /> <br /> C, Temp~nry ~a <br /> <br /> ~ am~ or <br /> 201 amps to <br /> <br /> Over 6~ <br /> <br /> D. Brnn~ <br /> <br /> ~e of semite <br /> ~eh b~aeh ei~uit $ 2.~ <br /> <br /> b) ~e fee for ~n~h oi~ults <br /> pum~ of semie~ or fear fee <br /> Fi~t b~h ~i~uit $3S.00 <br /> ~h addifion~ br~h ~uit $ ~,~ <br /> <br />E. Mi~lan~s (~vice ~ F~ N~ Include) <br /> <br /> ~h si~ or omlinc <br /> Signal ei~ui~s) ot <br /> ~, alterati~ or ext~ion $~.00 ....... <br /> <br /> above, per ~pcctJon $35D0 <br /> G, Mia~ In~al~tioa Labels <br /> Ps~k of 10 labcla ~ $5,~ ~ch $50,~ <br /> <br /> (~ reqMmd by Buildi~ O~wial) <br /> Aurora ~elli~ Elec~ical Fee <br /> <br />5. ~$ <br />Al, ~n~t toln{ of f~es fwm S~, ~4 $ <br />A2. Add 5% s~ha~ (.05 x Al) $~. <br /> <br /> B. Ent~ 25% of lin~ Al for Plan R~vi~ <br /> (See, 3), if ~qui~d $_~ <br /> ¢. Inv~tigatlon ~¢ (if~qui~d) $_~ <br /> D. ~i~peetion F~¢ ($25,~) $ <br /> <br /> <br />