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FOR CITY VALIDATION] <br />Reoeived by: [ <br />Dine: ] <br /> <br />MARION COUNTY BUILDING INSPRCTION <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 ~88-$147 8:00am - 4:30pm <br />FAX: 588-7948 <br /> <br />IELECTRICAL PERMIT APPLICATIoN <br />Please complete tel Sections, I through <br /> <br />1. LOCATION OF INSTALLATION <br /> <br /> A , fv l[o., oe, 97'325 <br /> <br />PERMITS ARE NON-'iltANSFERABLE AND EXPIRE IF WORK IS NOT <br />STARTED ~ 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSP~NDBD FOR 180 DAYS. <br /> <br />2A. CONTKACTOR INSTALLATION ONLY <br /> <br />liB. FOR OWNBR INSTALLATION~ <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) se~ of plans and <br /> specifications with this application. <br /> MC 15-341/96 <br /> <br />PERMIT NO: <br /> <br />Date: <br /> <br />Issued by: <br /> <br />4. ~ SCHNDULE (~leu~ efta ~ to~elin A1 below) <br /> Numbe~ of Inspections per pe~nit ~llov~d <br />A. <br /> Residential <br /> Unit <br /> Service luoluded: Iton~ Coet (erich) <br /> IO0O s~, fc ~ less $85.O0 4 <br /> <br />er potion thereof $1500 <br />Limited Energy $20.00 1 <br />ltach Mmmfac~a~d Home or <br /> Dwellin~ ,~r~ice or Feeder $40.00 2 <br /> <br />B. S~-vie~ o~ F~iar s (Do~ not i~hu~ branch cirmlis, see seciioa D) <br /> <br /> lnslallation, Al~aien ee R~k~Ft~ <br /> 200 amps or le~ <br /> 201 amps to 400 ampe <br /> 401 ampe to 600 amps <br /> 601 amps to 10O0 empe <br /> Over 1000 amps or ,mBs <br /> Reoonaeet o~ly <br /> <br /> C. Tmnl~ ar y 8sevie~/F~ed~a <br /> Installation, Alteration, ~r Rdoeation <br /> 2O0 ampe or leto <br /> <br /> D. <br /> New, Alterations, e~ Extension par P~nsl <br /> a) The fee fo~ b~anoh <br /> <br /> ~a~n bean~ <br /> <br /> b) The fee for branoh clr~uils without <br /> <br /> Ftmt branch cir~it <br /> Each additional brlmeh ciz~uit <br /> <br /> E. Mised[aneaus (ServJoea~ Feede~ Nat lnoluded) <br /> Each pump ~ inlgation c~le <br /> Each si~n or outline lighting <br /> Si~al cbeuit(s) or a limited ener~ <br /> panel, alteratie~ or extortion <br /> P. Ea~ sddltional Inspmtion <br /> Over the allowable in any of the <br /> above, per Impection <br /> <br />~ (tn~l d ordy to eleatrie4t l cotttra~ors) <br /> H. Other <br /> (As t'~qmr~ by ~din~ O~iaO <br /> Aurora Dv~llinff Electdcsl Fee <br /> Dwelling Permit label <br /> <br />$60.00 .... 2 <br />$1O0,O0 2 <br />$130,00 2 <br />$300.O0 2 <br />$40,O0 <br /> <br />$3~0 ... 2 <br />M0,O0 .,,2 <br />$80.00 2 <br /> <br />$35.00 .. <br />$ 2.00 ~" <br /> <br />$40.00 ,2 <br />$40.O0 , 2 <br /> <br />., <br /> <br /> $50,00 <br /> <br />__.sq. fl. x $.068 = <br /> lq/e <br /> <br />5. FEES Al. Fmler tolal of fees fiom Sec. fi4 <br /> 32. Add 5% sutohs~e (.05 x Al) <br /> <br />8ubt~al <br /> <br />B. En~r 25% of llne Al for Plsn Review <br />(Sec. 3), if requital $.__ <br />C. Investigation Fe~ (if requlmd) $.__ <br />D. l~inspeclion Fee ($25.00) $ , , <br /> <br />R*c~ipt 1%. <br /> <br /> <br />