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285 Church St NE · Room 132 <br />FOR CITY VALIDATION Er,NO: <br /> Salem, OR 97301 <br />Received <br /> by: <br />Date: ~r ~n~t~n ~o: S~ ~1 ~-' ',u~ ~.. <br /> Offs: 588-5147 8:~..m.-4:30p.m. .' <br /> <br /> _ F~: 588-79~ <br />Ploa, o ~om~toto ~l 8~gon& ~ t~rou~ ~ <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 />Signat~e of Supe~ising El~ici~ <br /> <br />2B. FOR OWNER INSTALLATIONS <br />Property Owner ~ple~ se print) <br /> <br />Mailing Address I Phone <br /> <br />City/Stated'Zip <br /> <br />Owner's Signature: <br /> <br />3. PLANREVIBW 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 />4. FEE SCH]~DULE (Complete and enter ~otsl in Al below) <br /> Number of Inspections per permit allowed <br /> Residential <br /> Per <br /> Unit <br /> / <br /> Service Included: Items Cost (each) Sum I <br />1000 sq. fi. or less $85.00 4 <br />Each additionsi 500 sq. ft. <br /> or portion thereof $15.00 <br />Limited Energy $20.00 <br />Each Manufactured Home or Modular .~_~_ <br />Dwelling Service or Feeder ~ $40.00 <br /> <br />B. Services or Feeders (Does not include branch circuits, see section D) <br /> Installation, Alteration or Relocation <br /> 200 amps or less $50.00 ~ 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 I000 amps or volts $300.00 ~ 2 <br /> Reconnect only $40.00 -- 2 <br /> <br />C. Temporary 5erviceWFeedera <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 volts <br />see 'B' above <br />D. Branch Circuits <br />New, Alterations, or Extension Per Panel <br />a) The fee for branch circuits ~gith <br />purchase of service of feeder fee <br />Each brnnch circuit $ 2.00 <br /> <br />2 <br />2 <br />2 <br /> <br />b) The fee for branch circuits without <br /> purchase of service or feeder fee <br />First branch circuit <br />Each additional branch circuit <br /> <br />$35.00 __ <br />$ 2.00 __ <br /> <br />E. Miscellaneous (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 Inspection <br />Over the allowable in any of the <br />above, per Inspection $35.00 <br />O. Minor Installation Labels <br />Pack of 10 labels @ $5.00 each $50.00 <br />(sold only to electrical contractors) <br />H. Other <br />(As required by Building OflTcial) <br />Aurora Dwelling Electrical Fee <br /> Dwelling Permit Label # of Labels <br /> <br />__sq. ~. x$.06 =__ <br /> <br />N/C <br /> <br />Al. Enter total of fees from Sec.//4 <br />A2. Add 5% sumharge (.05 x Al) <br /> ~ubtotai $.~ <br /> <br />B. Enter 25% of line Al for Plan Review <br /> (Sec. 3), if required $.~ <br />C. Investigation Fee (if required) $ <br />D. Reinspection Fee ($25.00) $ <br /> TOTAL AMOUNT DU~ $ ~/~(~ <br />Receipt No. <br /> <br />MC 15-34 12/94 <br /> <br /> <br />