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FOR OFFICE USE ONLY <br />Received by:_ <br />Date: <br /> <br />MARION COUNTY BUILDING INSPEC.,T~O~, <br /> <br /> Salem, Oregon 97301 <br /> <br /> FAX: SsS.794s SITE #: <br /> <br />ELECTRICAL PERMIT APPLICATION .... <br /> I <br />Please complete all Sections, I through 5 I <br /> <br />L LOCATION OF INSTALLATION <br /> <br />JobAadrcss 13280 Denbrook Road NE <br /> <br />c~, Aurora cro~ss~ Beeries Ferry Road <br /> <br />Directions <br /> <br />600 amp service <br /> <br />D~s¢fiption <br /> <br />PERMITS ARE NON.TRANSFERABLE AND NON-REFUNDABLE AND <br />EXP/RE IF WORK ]IS NOT STARTED WITHIN 1 S0 DAYS OF ISSUANCE <br />OR IF WORK IS SUSPENDED FOR 1 S0 DAYS. <br /> <br /> 2A. CONTRACTOR INSTALLATION ONLY <br /> <br />I ~rvnen mxectr:~c. ~.nC. ~'-3¥±3 <br />[ Po 206, ox o7o 2 <br /> <br />con~ctoe~ Lin~s~ No, 24-322C <br /> <br />Contraatofs Board Rc~, No, IJob NO, <br /> 98943 <br /> <br /> i 0 <br />Sopeoa~oesLic~as~$o. 3138S !~ ~]i~c~%~'-3913;,.' <br /> <br /> FOR OWNER INSTALLATIONS <br />Mating Address <br /> <br />City/State/Zip <br /> <br />Th~ installation is being mad~ on p~y~erty I own which is no~ intended for sale, <br /> <br />PLAN REV'fEW SFLTi'iON [ <br /> <br /> Wc will provide plan review service if you comple!e Section <br /> 5B and sabine two (2) sets of plans and specifications with <br /> this application, ~ <br /> <br /> This optional plan review program does not suspend the <br /> required submission of lighting power calculations, phns, <br /> and specifications when required by the Oregon Struct~al <br /> Specialty Code, Chapter 53, <br /> <br /> NAR/ON COUNTY <br /> Date: <br /> ~UILUlNG INSPECTION <br /> Issued by: <br /> <br /> 4. FEE SCHEDULE (Compl~te and ~ter total in A1 below) <br /> <br /> Number ~f Inspecnons per permit allow~ <br /> <br />A. <br /> R~d~flal <br /> P~ <br /> Unit <br /> S~1~ Include: It.s Cost (each) Sum/ <br /> <br /> 1 ~ sq. k or less $85,00 I 4 <br /> Each ad~fionaI 5~ sq, <br /> ~ ~ ~e~of $15.00 <br /> <br /> ~ Sc~ ~ F~cr $40.00 ....... 2 <br /> <br />~, Ser~s or Feeders ~es ~o~ ~lcudc ~nch c~rc~, see sec~o~ D) <br /> <br /> ~ amps or less ] $50,00 50, OO 2 <br /> <br /> ~r 1~ ~ps or volm $800. <br /> <br /> 200 amps or less <br /> 201 amps to 400 amps <br /> <br /> Over ~) amps or 10{X} volts <br /> <br /> a) ~.fee for branch ~ts with <br /> <br /> Each branch cireult ,, 10 <br /> b) The fee for branch ~rcuts without <br /> <br /> Each pamp or fi~jgatlon drcle ..... <br /> Sig~al:aimuit(s):ot a/~Mt~d energy <br /> <br /> nixie, par In~-afion <br /> <br />H. Other <br /> (As required by Building Official) <br /> <br />$. FEES <br /> <br /> A% Add 5% ~uraharg~ (,05 x Al) <br /> <br /> Subtotal <br /> <br /> (Se~, ~), if ~qMr~d <br /> C,Inve~,;§aQonF~ (if reqtti~M) <br /> D,R¢inspectie~ Fe~ ($25.00) <br /> <br />$35,00 <br />$40.0O <br />$80,00 <br /> <br />20. O0 <br /> <br />$35,00 <br /> $2,oo <br /> <br />~40,00 <br /> 40,00 <br /> <br />$40,00 <br /> <br />$35.00 <br /> <br />$5o,oo <br /> <br />$178.50 <br /> <br />$178.50 <br /> <br />MC 15-34 11/91 R~ce~ No, <br /> <br /> <br />