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qOb~'(~'(~ n ~MARIONCOUNTYBUILDINGINSPF-CTION I~q'OdqO! <br /> ~ ~ [ ~ ' --., COMMUN~Y DEVELOPMENT CE~R <br /> ............. 'x 285 Church St NE ' Room 132 .......... <br /> FOR CITY ~~ S~em, OR 97301 <br /> <br /> ~:~ ' I 24 hr. Inspection Line 373~427 <br /> <br />ELECTRICAL PERM APPLIC 71 '- <br /> P/~e complete ~1 ~~~ ~ ~997 sc~ (C~plele ~d ent~ total in A~ be~w) <br /> <br /> 1. LOCA~ON OF m~LATION M~ION GODN~ ~a~ <br />  sq. ft. or less $85.~ 4 <br /> ~ch Manufact~d Home or Modular <br /> <br /> 2~ am~ or less $50.00 ~ 2 <br /> ~1 ~ to ~ amps $~.00 ~ 2 <br /> ~1 am~ to ~ amps $1~.00 ~ 2 <br /> ~1 am~ to 1~ ~ps $1~.00 ~ 2 <br /> Over 1~ ~ps or vo[~ ~.~ ~ 2 <br /> <br /> STARTED ~ 1~0 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />Phone6~ [Faxg <br /> <br />Property Owner <br /> <br />Contractor's Board Peg No. <br /> <br />2B. FOR O~qltR INSTALLATIONS <br /> <br />C. Temporary Services/Feeders <br />Installation, Alteration, or Relocation <br />200 amps or less $35.00 2 <br /> 201 maps to 400 amps $40.00 __ 2 <br /> 401 maps to 600 amps $80.00 -- 2 <br /> Over 600 amps or 1000 volts <br /> <br />D. Branch Circuits <br /> N~v, Alterations, or Extendon Pet Panol <br /> a) The fee for branch circuils ~ <br /> <br /> Each branch circuit $ 2.00 -- <br /> <br />$2.00__ <br /> <br />E. Mi~celinneous (Servlce or Feede~ Not Included) <br />Each pump or irrigation chicle $40.00 2 <br />Each sign or outline lighting $40.00 -- 2 <br />Signal circuit(s) or a limited eaexgy <br />panel, alteration or exter~ion $40.00 -- 2 <br />F. Each additional Inspection <br /> <br />Over the allowable in any of the <br />above, per Inspection $35.00 -- <br />Minor Installation Labels <br />Pack of 10 labels @ $5.00 each $50.00 -- <br />(sold only to electrical contractors) <br />Othe~ <br />(As required by Building <br />Aurora Dwelling Electrical Fee --~q, fi. x $. 068 - -- <br />Dwelling permit Label # of Labels N/C <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 />MC 15-341~6 <br /> <br />A 1, Enter total of fees from Sec. g4 <br />A2, Add 5% surcharge (.05 x Al) <br /> Subtotal <br /> <br />B. Enter 25,% of line A1 for Plan Review <br /> (Sec. 3), if required <br />C. Investigation Fee (if required) <br />D. Reinspeetion Fee ($25.00) <br /> <br /> ~_ . ~L 3aMO~ DUE <br /> <br /> <br />