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} OR OF$}~CE USE ONLY <br />Received by:. <br />Date: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMIvlUNITY DEVELOPMENT CENTER <br /> <br /> 2$SChmehSt. IqE - Room <br /> Salem, Oregon 97301 <br /> <br />Phone 588-5147 8:~ ~ - 4:3~ <br />~-A-~e: 588-7~ <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all...Sections, 1 through <br /> <br />PERMITS ARk; NON-'IRANSFEKABLE AND NON.rt-EFUNDAB LE AND <br />HXPE~E IF WORK tS NOT STARTED W1THI~ 150 DAYS OF ISSUANCE <br />OR IF WORK IS SUSPENDED FOR 1 g0 DAYS, <br /> <br />gE, FOR OWNER INSTALLATIONS <br />Pm~tty Owner <br /> <br />Mailing Address } Phone <br /> <br />City/State/Lip <br /> <br />The installation is being made on proper~y I own which is nO{ intended for saJl~, <br /> <br />3. PI.AN REVIEW ,ql~L'TlON <br /> <br /> We will provide plan review service if you complete Sect/on <br /> 5B and submit two (2) sets of plans and specifications wifl~ <br /> this application. <br /> <br />This optional plan review program does not suspend the <br />required submission of lighting power calculatiOnS, plans, <br />and specifications when required by the Oregon Structural <br />Specialty Ctxte, Chapter 53, <br /> <br />ECflYF. D <br /> <br />SITE #: <br /> <br />Date: <br /> <br />Issued by: <br /> <br /> 4. 1cEE SCHEDULE (COmplete and enter total in A i below) <br /> <br /> Number of Inspoetiorls per permit allowed <br /> <br />A. <br /> Residential <br /> Unit <br /> ,. <br /> <br /> 1~ sq, fl. m less .,, $8500 <br /> <br /> or ~ ~emof $ t5.00 <br /> L~d Enemy ~ $~0.00 ~ <br /> Each ~ugd H~e or M~ular <br /> Dw~g Se~m or Feeder $40.00 , <br /> <br /> Installation, Alterations or Relocattoll <br /> 200 amp~ or less $50.00 <br /> 201 aznps to 400 amps $o0.0e <br /> 401 amp~ to 6tX) ampa .,, $100,00 <br /> 601 amps to 1000 amp.q ~ $130,00 <br /> Over 1000 m-np~ Or volt_q .. $300,00 <br /> Reoormcet cmly $40.00 <br /> <br />C. TempOrary Servtee!dFeeders <br />Installation, Alteration, er Relocation <br />200 amps or less $35.00 <br /> 201 amps to 400 amps ., $40.00 <br /> 401 amps to 600 amps $80.00 <br /> Over 600 ~ap$ or 10gO <br /> See '~J" above <br /> <br />D. Branch Ctrcults <br /> <br /> a) The fee for branch ~rcuits ~ <br /> <br /> Each branch circuit ~ <br /> <br /> b)Th~ fern ¢or branch clrcuts .wlthopt <br /> .gnrohal~ Of service or f@.dcr <br /> <br /> First branch cimult . $S8,00 <br /> Each addificaal branch cim~it $2. <br /> <br /> Each pump Or ixrlgarica citcJc $40.00 <br /> Each sign or outlla¢ 1/ghtJng $40,00 <br /> :~,igaal e..irc~t(S) or a limited eamrgy <br /> panel, alteration or extension $40.00 <br /> <br /> over the allowable ~ any of the <br /> above, lx¢ h~p~ct~ou ._ $35.00 <br /> <br /> Pack of 10 lebeta@ $5.00 each <br /> <br />H. Other <br /> (Aa, mqtdred by Building Officia0 <br /> <br />$. FI :S - <br /> Al. Enter total of fees from Sec. #4 $ <br /> A2. Add 5% ~urch:trge (~0~ x Al) $ <br /> <br /> Subtotal <br /> <br /> B, Enter 25% of'linc Al for Plan Review <br /> (See, 3), if required $ <br /> C. InvestigaSonFee (if mqnimd) $ <br /> D. Reinspeclion Fee ($25.00) <br /> <br /> 'I'OTA 1. AMOUNT DUE $ <br /> <br /> <br />