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IELECTRICAL PERMIT APPLICATION <br />Please complete all Sections, I through <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />MARION COUNTY BUILDING INSPRCTIO~.~ <br /> CO~Y DEVELOPME~ CE~R [~[~ <br /> 285 Chuwh St NE. R~m 132 P~ --~C~ I I I I <br /> S~=, OR 97301 <br /> N 996 <br /> 24 hr. Inspeetinn Line 373-4427 <br /> Omce: Phone 588-5147 8:00am - 4:30pm MARION COUNW <br /> F~: ~8-7948 Issu~:~C,,,~,'"~ ..... au, ,0N <br /> <br /> PERMITS ARE NON-TRANSFERABLE AND BXPIRE IF WORK IS NOT <br /> STARTED WITHIN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. COHTRACTOR INSTALLATION ONLY <br />Ele°~enl C°°trac~°r I Phone <br /> <br /> Owner [ Phone <br />Con,actor's Lieeme No. <br />~'s ~ Reg. No. J lob <br />Si~a~ of Su~g ~ci~ <br /> <br />Supervisor's License No. I Phone <br /> <br />3. PLANRBVIBW SBCTION <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 SCHIK)ULE (Complete nnd enter tutal in A1 be[ow) <br /> Number of Inspections per p~rmit allowed -~ <br />A. <br /> Residential <br /> Unit <br /> Se~vic~ Ineindod: Items Co~t (each) Sum <br /> 1000 sq, fl. or less $$5.00 4 <br />Each additional 500 sq. fl. <br /> or portion thereof $15.00 <br />Limi~d Energy $20.00 1 <br />Each Manufactured Home or Modular <br /> Dwelling Service or Feeder $40.00 -- 2 <br /> <br />B. 8ervk~ et Feeders (Do~s not include branch circuRs, see section D) <br /> <br /> 200 ~mps 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 m 1000 amps $130.00 -- 2 <br /> Over 1000 amps or volts $300.00 -- 2 <br /> Reconnect only $40,00 -- 2 <br /> <br />C. Temporary <br /> <br /> 200 amps or l~s $35.00 -- 2 <br /> 201 amps to400 amps $40.00 2 <br /> 401 amps to 600 amps $80.00 2 <br /> Over 600 amps or 1000 vol~ <br /> <br />D. Branch Cirouits <br />New, Altgation~, ~ Extension Per Panel <br />a) ~¢ re* for branch dircuits ~ <br />purchase of service of feeder fee <br />Each branch circuit $ 2.00 -- <br /> <br /> b) Tae fee for branch circuits without <br /> purchase of service or feeder fee <br /> First branch circuit ~ <br /> Each additional branch circuit ~ <br /> <br />E. Miscellaneous (So, vice or Feeder Not Included) <br /> Each pump o~ irrigation circle <br /> Each sign or outline lighting <br /> Signal circuil(s) or a limited energy <br /> panel, alteration or exC~ndion <br />P. Ea~h addW~onal Inspection <br /> Over the allowable in nny of the <br /> above, per lmpectinn <br />/3. Minor Installation Label~ <br /> Pack of 10 labels @ $5.00 each <br /> (sold only to electrical corara ctors) <br />H. Other <br /> (AS requi~d by ~ildiag O~ciaO <br /> Amora Dwelling Ei~ctrlca[ Fee <br /> Dwelling Pen=it Label <br /> <br />~.~__2 <br />$~.~__2 <br /> <br />$35.~ <br /> <br />$30.~__ <br /> <br /> sq. fl. x $.068 = -- <br /># of Labels. <br /> <br />5. FEES <br /> A 1. Enter total of fees from Sec. #4 <br /> A2. Add 5% surcharge (.05 x Al) <br /> Subtolal <br /> <br /> (See. 3), if~uimd <br /> C. ~vestigafion Fee (ifr~u~d) <br /> D. ~impect~a ~ ($25.~) <br /> <br /> Receipt No.~q ~OT~ ~0~ DUE <br /> <br />MC 15-341/96 <br /> <br /> <br />