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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER qq- 0 ~)3 <br />FOR CITY VALIDATION 285 Church St NE. Room 132 PERMff NO: <br />Received by: [ Salem, OR 97301 <br />Date: [ Date: <br /> <br />ELECTnlCAL PERMIT APPLICA'~q'''~ l~o ~o~/~ ~'ff <br />Ptssso eompt~t~ att ,.~tions, I tt~rougt~ ~ ~ D 2 9 19.14. FBB $CHBDULE (Compla~ ~nd ~ser tomlin Al boiow) <br /> <br />PERMrFS ARE NON-TRANSFERABLI~ AND EXPIRE IF WORK 1S NOT <br />STAR~ED WITHIN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br />Electrical Comractor L~/A/,~-~t~- ~Jt~d~ <br />A~s~ ~ff~.~- Az,vd ~-~a~/L~ <br /> <br />liB. FOR OWNBR INSTALLATIONS <br />Propcay Owner ~/ea~ print) <br /> <br />Mailing Address <br /> <br />Ci~/Smt~p <br /> <br />3. PL~ S~C~ON <br /> <br />IMarion 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 />MC 15-341/96 <br /> <br /> Number of Inspections per permit allowed <br />YA.[~[~t~t,Ro~idential P~ Unit Items Cost (each) Su'~um [ <br />'~ Includ~l: <br /> Ir0~ sq. ft. or less $85.00 4 <br /> ~ach additional 500 sq. ft. <br /> or portion ~Eamof $15.00 -- <br /> Limited Energy $20.00 1 <br /> Each Manu factored Home or Modular <br /> Dwelling Service or Feeder $40.00 2 <br /> <br /> B. S~rvice~ or Feeder~ (Does not include branch circuits, ze~ section D) <br /> Installation, Alteration or Rdooation <br /> 200 ampe or la~s $50.00 -- 2 <br /> 201 amps to 400 amps $60.00 -- 2 <br /> 401 amps to 600 amps $100.00 __2 <br /> 601 ampsto 1000amps $130.00 __2 <br /> Over 1 000 amps or volts $300.00 -- 2 <br /> Reconnect only $40.00 -- 2 <br /> <br /> 200 amps or less $35.00 -- 2 <br /> 201 amps to 400 amps $40.00 __2 <br /> 401 amps to 600 amps $80.00 __2 <br /> Over 600 amps or 1000 rolls <br /> <br /> a) The fee for branch circuits ~ <br /> Each branch circuit $ 2.00 -- <br /> <br /> b) The fee for branch circuits without <br /> nurehaae of service or feeder fee <br /> First branch circuit ~ $35.00 ~ <br /> Each additional branch circuit ~ $ 2.00 <br /> <br /> E. Mi~oEan~oua (Servi~o ~r Feed~ N~ included) <br /> Each pump or irrigation circle $40.00 2 <br /> Each sign or outline lighting $40.00 2 <br /> Signal circuit(s) or a limited en~gy <br /> peneS, alte~atioo or ~xtonsion $40.00 2 <br /> P. Each additional Inspootlon <br /> Over the allowable in any of the <br /> above, per Inspection <br /> <br /> Pack of 10 inbels @ $5.00 each <br /> (sold only to electricsl contractors) <br />H. Other <br /> (As required by Building <br /> Aurora Dwelling Electrical Fee <br /> <br />$35.00 -- <br />$50.00 <br /> <br /> sq. fi. x $.068 = <br />ff Of Labels N/C <br /> <br />Al. EntertotaloffeesfromS~e. ff4 $ -~-ff'~ <br />A2. Add 5% surcharge (.05 x Al) $~ <br /> Subtotal $ <br /> <br />(S~c. 3). if required $___ <br />C. Investigation Fe~ (if required) $.__ <br />D, Reimpection Fee ($25.00) $.__ <br /> <br /> TOTAL AMOUNT DU~ $}/~, ff <br /> <br /> <br />