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FOR CItY vALIDATION] <br />Received by: <br />Date: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Church St NE · Room 132 <br /> Salem, OR 97301 <br /> <br />24 Hr Inapegtion Line: 588-7904 <br />Office: 5g~$147 8:00 a.m. - 4;30 p.m, <br />FAX: $88-7948 <br /> <br /> qs-( qsl <br /> <br />Date: <br /> <br />Issued by: <br /> <br />ELECTRICAL PERMIT APPLICATION <br />P/ease complete ali Sections, I through 5 <br /> <br /> PERMITS ARE NON-TRANSFER_ABLE AND EXPIRE IF WORK lS NOT <br /> STARTED WITHIN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS, <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />2B. FOR OWHBR INSTALLATIONS <br />Pmpel~y Owne~' (pleasepc/at) <br /> <br />City/Stata/Zip <br /> <br />3. PL~ RENEW SECTION <br /> <br /> Marion County does not require a plan review, ] <br /> We will provide plan review service if you complete <br /> Section SB and submit two (2) sets of plans and <br /> specifications with this application. <br />zec ~.~-.;4 ~4 ' <br /> <br />4. ~EE SCHEDLTLFi (Complete and cnlcr total ia A l bdow) <br /> <br />A. <br /> R~idential <br /> <br /> I0~ sq, ~, or less $83,~ <br /> <br />Over 600 ~nps or 1000 volts <br /> <br />b) The f~ be bracmh circuits <br /> <br />$60,00 <br />gl00,00 <br />$130.00 <br />$3(X),(I0 <br />$40,00 <br /> <br />$35,00 2 <br />$40,00 2 <br />SS0,00 2 <br /> <br />$ ZOO <br /> <br />$35,00 <br />$ 2330 <br /> <br />$40,00 .... 2 <br />$40,00 2 <br /> <br />B, tiintcr 25% of line A I Ibc Plan Review <br />(Se~, 3), if requix~d $___ <br />C, Jnvestjgation Fee (ifcequired) $___ <br />D, Reimp¢ction Fee ($23,00) <br /> <br /> TOT~ ~OU~ DUE <br />R~ceip~ <br /> <br />E. Mi~v~,lhmeou $ <br /> ~eh pump or i~igation circle <br /> ~eh g[gn or outline lighting <br /> Signal circuit(a) or a limited en~gy <br /> <br /> above, per Inspection $35,~ -~. <br /> <br /> Paek of 10 labe~ <br /> (~ld only m elcctrJcM contr~clor~) <br />~, Oth~ <br /> (~ ~quiced by ~tildi~ OWwlaO <br /> <br /> Dwelling Penait ~bel g of ~bel$, ~ <br /> A2. Add 5~ surd~arg~ (,05 x Al) <br /> <br /> <br />