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'voxe CXT 'V a IDA O I <br /> Received by: <br /> Date: <br /> <br />ELECTRICAL <br />P/ease complete al~ Sections, <br /> <br />1_ LOCATION OF INSTALLATION <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br />COMMUNITY DEVELOPMENT CENTER <br />285 Chul~h St NE · Room 132 <br /> Salem, OR 97301 <br /> <br />24 Hr Inspection Line: 588-7904 <br /> 7147 8:00 a.m. - 4:30 p.m. <br /> <br />......... ~l~R MiTS A Rll~, lgOiq.Ti~t.N$~RA BL,~ AND EXPl'l~l~ lie WOP, i~ iS N~¥ <br /> $TAR~ ~ 1~ DAYS OF ISSUANC~ OR WO~ IS SUS~D~ FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> , d~U ~ '1 <br /> <br /> I <br />~ FOR O~ ~ST~LATIO~ <br /> <br />~y Owner ~IonscpriaO <br /> <br />~iling Add~s ~e <br /> <br />City/StatrYZ;ip <br /> <br />Owner's Signature: <br /> <br /> :5. PLAN REVIEW SECTION <br /> <br />lMarion County does not require a plan review. <br /> We will provide plan review service if you complete <br /> Section 5B and subm!t two (2) sets of plans and <br /> specifications with thts application. <br /> <br />Date: <br /> <br />Issued by: <br /> <br />MC 15-34 12/94 <br /> <br /> SCHI?.DULR (Complete and enter total in A 1 below) <br /> <br />A. R~idential Per UnitN~unber of Inspections per permit allowed~ <br /> ,Svrvico Included: llenm Cost (each) Sm <br /> 0 sq, fl. or less $S5,00 4 <br /> q. fi, <br /> <br /> Dwellin~ Secvi¢¢ or l~eder $40.00 -- 2 <br /> <br />B. 8~vl¢~ or F~s (~s not include branch ci~ults, see section D) <br /> <br /> 200 amps or less $50.~ 2 <br /> 201 amps to ~0 amps $~).~ ~ 2 <br /> ~1 am~ to ~0 amps $1~,~ ...... 2 <br /> ~1 am~ to 10~ ~pa $130,00 2 <br /> ~er 10~ amps or ~lm $3~,00 2 <br /> <br /> 200 amps or less $35,00 ~-- 2 <br /> 201 amps to ~0 amps ~,~ 2 <br /> ~1 am~ to ~ amps $~,00 ~ 2 <br /> O~r 600 ~ps or 10~ vol~ <br /> <br /> a) ~ fgg for br~oh oigui~ ~ <br /> ~oh branCh eiguit $ ~.~ <br /> <br /> b) The fee for branch eircuit~ without <br /> purchase of se~ce or feeder fee <br /> Fiest branch circuit $35,00 ....... <br /> Each additional bran¢h eir~uit $ <br /> <br />I[, Miac~llaneou~ (8{~rvico or p~d~ No{ lnelnd~d) <br />~aeh pump or krlgation circle $40.00 -- 2 <br />Eae. h sil~m or outline lighting $40.00 .... <br />Signal ¢imuit(s) or a limited energy <br />panel, alteration or ext~nslon $40.00 <br /> <br /> Over the allowable in any of the <br /> above, p~r Inspection $35,00 <br /> <br />Pack of 10 labels ~ $5.00 each $.50,00 ...... <br />(sold o~ly to el~ctricM contractor0 <br />H. Oth~ <br />(As £eqoi£ed by Buildir~ OlTt¢iaO <br />Aurora Dwelling £1ectrieal <br /> <br /># of Labels. N/C <br /> <br />FEES <br /> <br /> <br />