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FOR OFFICE USE ONLY <br />Received by:. <br />Date: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> 920 High Stl~et NE <br /> Salem, O~gon 9~301 ? <br /> Phone $85-5147 8:00 a~a - 4:30pm <br /> Code.A-Phone: 588.7904 <br /> F~: 5s$-7~45 SITE #: <br /> <br />ELECTRICAL PERMIT APPLICATION" ] <br />?lease aomplete all Seat[on$, 1 throvoh 5 <br /> <br />Permit No, <br /> <br />Date: <br /> <br />Issued by: <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />P~CIiTS ARE NON-TRANSFERABLE AND NON-REFUNDABLEAND I <br />EXPiRE IF WORK IS NOT STARTED WI~FI]~ 180 DAYS OF ISSUANCE <br />OR IF WOP. K IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br />Ptopeay Owner <br /> <br />3. PLAN REVIEW SECTION <br /> <br />4+ FEE SCHEDULE (COmplete and enter total in A 1 below) <br /> <br /> Number of Inspections per permit allowed <br /> <br />A. <br /> Residential <br /> Unit <br /> / <br /> Service Included: Ito~os Cost (each) Sum <br /> <br /> l O00 ~q, fl. o~ less $85.00 -- <br />Each add/t/opal ~00 iq. ft, <br />or go~6on themof $15,00 <br />Limi~d Energy $20.00 1 <br />Each Manufd <br />Dwelllng~ Fe~ ~]~ $40.00 __2 <br />B, Services or Feed~r~ (Does not <br /> <br /> 200 amps or less $,50.00 <br /> 201 amps to 400 amps $60.00 <br /> 401 amps to 600 amps -- $100.00 <br /> 601 amps to 1000 ~unps $180.00 <br /> Over 1000 amps or volts $300.00 <br /> Reconnect only $40.00 <br /> <br />C. Temporary Services/Feeders <br /> <br /> 200 amps or l~ss $35,00 <br /> 201 amps to 400 amps $~0,00 <br /> 401 amps to 600 amps $80.00 <br /> Over 600 amps or 1000 volts <br /> <br /> a) Thc icc for branch tire,ts <br /> <br /> Each branch circuit $2,00 <br /> b) 'rhe fee for branch clrcuts <br /> <br /> First branch circuit $S5.00 <br /> Each additional branch circuit $2,00 <br /> <br />E. Miscellaneous (Service or Feeder Not Included) <br />Each pump or irdgathm circl~ $40,00 <br />tlach sign or outhne l:i~hting $40.00 <br />~ignal cltcalit(s) or a Limited energy <br />panel, alteration or extension Sd0,00 <br /> <br /> over the aBowablc in any of the <br /> above, per Inspection $35,00 <br /> <br /> Pack of 10 labels @ SS.00 <br /> <br />H. Other <br /> ( A~ mqulred b~ Buildin80fficla0 <br /> <br />MC 15-34 11/91 )t No. <br /> <br /> <br />