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MARION COUNTY BUILDING INSPECTION <br />22O H~lh Street NE <br /> Salem, Oregon g730~ <br /> <br /> Phc~qe 588-5147 8.'00 a.m. - 4:30 p.m. <br /> <br /> FAX: 588-7948 <br /> <br />ELECTRICAL PERMIT APPLICAtiON <br />please comp~te aI SecYons, I thrcx~h 5 <br /> <br />siTB #: Permit No. <br />Dale; <br />Issued by: <br /> <br />I Phone No. <br /> <br />2B. FOR OWNER t'~Sl'ALLAlIONS <br /> <br />The i~s~llation is being mede on proper~ I ~n whf;h i~not tnmnded for ~le, <br /> <br />Check aapmpriate ~m and an~er fee in Sec. Eon SB. <br /> <br /> Oonnecte~ Load over 200 m~ (except single farnliy dwe~ings) <br /> .... Buikfing system over 200 amps (except Single family dwellings) <br /> <br /> ~ System over 600 volts <br /> <br />~ Built,rig over 2 ste~s <br /> I&~ding ~er 10;000 squ~re feet <br /> <br /> · O~=upant I=~ ever 30o persans <br /> <br /> ~ Hazardous bx:ations <br /> <br />Submit 2 sets of plana with any of the above. <br />Temporary r. oneln..~an eervices do n~ aRe/y. <br /> <br />4, FEE SCHEDULE (Complete and enter t~al in A1 below) <br />Number (~r Ineps~flone per permit all~ <br /> <br />~ ~sl~et~l, Single ~ I~m~ x ~ ~ T~ml <br /> <br />Mulg-Faadly per dwelling unit <br />1500 ~1. fL or <br /> <br /> Each M~.'d H~ Ot M~uMr <br /> D~ ~ ~ ~r <br /> <br />B. ~le~a <br /> <br /> R~nn~ <br /> <br />D. Bmnab CI~uI~ <br /> <br />~ MIs~l~s <br /> <br /> ~h ~n <br /> 8~n~ d~ult(s) or ~ ~ enemy <br /> <br /> ~ ~e <br /> · e ~, per in~n <br /> <br /> P~of 10~~h <br /> <br />~$85.__ <br />~$15. <br /> <br />~$3~. <br /> <br />1 <br /> <br />$130, <br />$3O0, <br /> <br />$60. 2 <br /> <br />$3~. ,, 2 <br /> <br />S /. <br />$ _ <br />$ <br /> <br /> <br />