Laserfiche WebLink
FOR CITY VALIDATION] <br />Received by: I <br />Date: <br /> <br />MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DBVELOPMENT CENTER <br />255 Church St NE · Room 132 <br /> Salem, OR 97301 <br /> <br /> 24 hr. Inspection Line 373-4427 <br />Office: Phone 585-5147 8:~am - 4:30pm <br />FAX: 588-7948 <br /> <br />PERMIT NO: <br /> <br />Date: <br /> <br />Issued by: <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all Sections, I through 5 <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />Di~ctions <br /> <br /> WO~ IS SUS~D~ FOR 180 DA~S. <br /> <br />:lB. FOR OWNER INSTALLATIONS <br /> <br />Property Owner (pier,prim) <br /> <br />3. PLAN REVIEW 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. 1~I~1:1 SCH~tDIJL~ (C~plete and ~ <br /> N~b~ of~o~s <br /> R~idmtial <br /> Unit <br /> ~vi~ IneindM: [t~ C~t (~h) <br /> <br />Re~n~ot only <br />C. T~p~ary ~vi~s <br />2~ ~ or 1~ $35.~ 2 <br /> <br />D. Bran~ C~Ra <br />a) ~e f~e f~ b~oh ~th~ wi~ <br />~ch bt~ch ci~uit S <br /> <br /> b) The f~e for branch cireuita without <br /> purchase of service oe feeder fee <br /> Fimt branch circuit <br /> Each additional br~neh chvuit <br /> <br />B. Mi~collan~ous (~vloe ~ F~d~ Not Included) <br /> Each pump or in-igntion eireW <br /> Each sign or outline, lighting <br /> Signal circuit(a) or a limited energy <br /> panel, alteration or exter~ion <br />F. Each additimml Inspection <br /> Over the allowabW in any of <br /> above, per lnapection <br />(L Minor [oa~allatiotl Labds <br /> Pack of 10 labela · $5.00 ea0h <br /> (sold only to electrical contractors) <br />H. Other <br /> (As required by Building <br /> Aurora Dwelling F, lecUieal F~e <br /> Dwelling Permit Label <br /> <br />$35.00 <br />$2.00 <br /> <br />$40.00 <br /> <br />$35.00 <br /> <br />$50.00 <br /> <br /> sq. fi. x $. 068 = <br /># of Labels. <br /> <br />N/C <br /> <br />5. FEES <br /> Al. Enter total of fees from See. #4 <br /> A2. Add5% surcharge (.05 xAI) <br /> 8ubto{al <br /> <br /> B. Enter 25% of lineAl forPlanReview <br /> (Sec. 3), if required <br /> C. Investigation F¢~ (if required) <br /> D. Reinspecfion Fee ($25.00) <br /> <br /> TOTAL AMOUI~ DLI~ <br /> Receipt No. <br /> <br />MC 15-341/96 <br /> <br /> <br />