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COMMUNITY DEVELOPMENT CENTER <br />IFOR CITY VALIDATIONI 285 Church StNE. Room 132 <br /> Salem, OR 97301 <br />Received by: <br /> / - I g~fnce: Phone $88-~147 8:00am - 4:30pm <br /> FAX: $88-.7948 <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br />PERMITS ~ NON-'[I~ANSFERABLE AND EXPIR~ IF WORK I$ NOT <br />STARTED WITHLN 1 ~0 DAYS OF ISSUANCE OR IF <br /> WORK I$ SUSPEIqDED FOR 180 DAYS. <br /> <br />2A. CONTRACTORINSTALLATIONONLY <br /> <br />~**~¢~C~'~rCHERRY CITY 1~997609 <br /> ELECTRIC <br />Ma~nsAddr~" POB 12668, Salem <br /> <br />Pmp~rt~ Owr. er O 0t Phone <br />Centracaoes License No.`-/3 7 - 6 20C <br /> <br />2B. FOR O~qq]~R Ilq~I'ALLATIONS <br />Pro~r~ O~ ~ print) <br /> <br />Phone <br /> <br />Mailing Addreas <br /> <br />City/State/Zip <br /> <br />Owner's Signature: <br /> <br />3. PLAN REVIBW $tICTION <br /> <br />Marion County does not require a plan review. <br />We will provide plan review service ffyou 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 /> InsS. allat ion. Alteration or l~a~a~tlm~ <br /> 200 amps or I~ $50.00 2 <br /> 201 amps to 400 amln $60.00 . 2 <br /> 401 ~mtn to 600 ~mps $100.00 2 <br /> 601 amps to 1000 amps $130.00 2 <br /> Over 1000 arnl~ or volts $~0.00 . 2 <br /> Reconn~t only ~40.00 2 <br /> <br />C. Temp~sry ~ervleea~eed~ra <br />Installation. Alteration. mt Re, cation <br />200 ampe or less $~5.00 2 <br /> <br /> Over 600 ~ps or 1000 volta <br /> <br />D. Brane~ Cireuits <br /> New. ARe~tlona. ot nxlamdon Pe~ Paual <br /> a) The fee fo~ branch ¢i~uits wi~ <br /> <br /> Each branch circuit $ 2.GO <br /> <br />b) The fee foc brmach circuit~ wi~ham <br /> <br />Fixer bt~a~ch cimui~ <br />Each additional branch oirctfit <br /> <br />~lS.(X) . <br />$ 2.00 _ <br /> <br />5. FEES <br /> Al. Emir tmal of feea farm Se~. ~ <br /> PO.. Add 5% sureharg~ (.05 x Al) <br /> <br />B. Emcr 25% ofl~eAl forPlan Review <br />(See. 3), if r~qui~d $ <br />C. Investigation Fee (ifr~qui~d) <br />D. Reimp~fion F~ ($25.00) $.__ <br /> <br />R~¢eipt Iqo. <br /> <br />MC 15-341/96 <br /> <br /> <br />