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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. Inspection Line 373-4427 <br />Office: Phone 588-5147 8:00am - 4:30pm <br />FAX: 588-7948 <br /> <br />IELECTRICAL PERMIT APPLICATION <br />P/ease complete al~ Sections, I through <br /> <br /> 1. LOCATION OF INSTALLATION <br /> <br />PERMITS ARE NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT <br />STARTED WITHIN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />Contractor's License No. ,,~ <br />Contractor's Board Reg. No. 7/"y~.~ ,~ ] JobNo. <br /> <br />Supe~isor's License No. <br /> <br /> 2B. FOR OWNER INSTALLATIONS <br /> Property Owner ~olea se print) <br /> Mailing Address I Phone <br /> City/State/Zip <br /> Owner's Signature: <br /> <br />3. PLANRBVIBW 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 />PERMIT NO: <br /> <br />Date: <br /> <br />Issued by: <br /> <br /> 4. FEE SCHEDULB (Complete and enter to,al in Al below) <br /> Number of InspectiOns per permit allowed --~ <br /> Residential <br /> Per <br /> Unit <br /> Service Included: Items Coat (each) Sum I <br /> 1000 sq. fl. or less $85.00 4 <br /> Each ndditiona1500 sq. ft. <br /> or portion thereof $15.00 <br /> Limited Energy $20.00 __1 <br /> Each Manufactured Home or Modular <br /> Dwelling Service or Feeder $40.00 ~ 2 <br />lnsVices or Feeders (Does not include brnnch circuits, see section D) <br /> tallation, Alteration or Relocation ~, ~ <br /> 200 amps or less $50.00 ~_~_f'2 <br /> 201 amps to 400 amps $60.00 ~ 2 <br /> 401 amps to 600 amps $100.00 ~ 2 <br /> 601 amps to 1000 amps $130.00 ~ 2 <br /> Over 1000 amps or volts $300.00 ~ 2 <br /> Reconnect only $40.00 ~ 2 <br /> <br />C. Temp~ary ,%rviees/Feeders <br />Installation, Alteration, or Relocation <br />200 amps or less $35.00 <br />201 amps to 400 amps $40.00 <br />401 amps to 600 amps $80.00 <br />Over 600 amps or 1000 voits~ -- <br /> <br /> New, Alterations, or Extension Per Panel <br /> a) The fee for branch circuits with <br /> purchase of service of feeder fee <br /> Each branch circuit j ~ $ 2.00 <br /> <br />b) The fee for branch circuits without <br /> ourchase of service or feeder fee <br />FirSt branch circuit <br />Each additional branch circuit <br /> <br />$35.00 <br />$ 2.00 <br /> <br />E. Miscellan~ons (Service or Feeder Not Included) <br />Each pump or irrigation circle $40.00 <br />Each sign or outline lighting $40.00 <br />Signal circuit(s) or a limited energy <br />panel, alteration or extension $40.00 <br />F. Each additional Insp~tion <br />Over the allowable in any of the <br />above, per Inspection $35.00 <br />O. Miner Installation Labels <br />Pack of 10 labels @ $5.00 each $50.00 <br />(sold only to electrical contractors) <br />H. Other <br />(As required by Building Oil?ciaO <br />Aurora Dwelling Electrical Fee <br />Dwelling Permit Label <br /> <br />__sq. fi. x $.068 = __ <br /># of Labels <br /> <br />NIC <br /> <br />FEES <br />Al. Enter total of fees from Sec. #4 $~ <br />A2. Add 5% surcharge (.05 x Al) $__ <br /> Subtotal $.~ <br /> <br /> B. Enter 25% of line A 1 for Plan Review <br /> (Sec. 3), if required $.~ <br /> C. Investigation Fee (if required) $,~ <br /> D. Reinspection Fee ($25.00) $.~ <br /> <br /> TOTAL AMOUNT DUE $.~ <br /> Receipt No. <br /> <br />15-341/96 <br /> <br /> <br />