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FOR CITY VALIDATION <br />Received by: <br />Date: <br /> <br />IELECTRICAL PERMIT APPLICATION <br />Please complete all Sections, I through <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTE~"~ <br /> 285 Church StNE- Room 132 <br /> Salem, OR 97301 <br /> <br /> 24 hr. Inspection Line 3?3-442? <br /> Office: Phone 588-5147 8:OOam- 4:3Opm IS~]~ COUNTY <br /> FAX: 588-7948 . <br /> BUILDING I <br /> NSPEC <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />PERMITS ARE NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT <br />STARTED WITHLN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br /> 22,. CONTRACTOR INSTALLATION ONLY <br /> <br />Pad(in Electric, Inc. 20250 S Molalla Ave. <br />Oregon City, OR 97045 503-657-4958 <br />Contractors License #: 34-4C <br />Supervisor: 1313-S <br />Contractors Board Reg #: 35151 <br /> <br /> Supervisor'~ License No. <br /> <br />2B. FOR OWNBR INSTALLATIONS <br /> <br />PrOl~rty Owner ~l~prim) <br /> <br />Mailing Address I Phone <br /> <br /> City/State/Zip <br /> Owner's Signature: . <br /> <br />3. PLANRBVIBW SBCTION <br /> <br />Marion County does not require a plan review. <br />We will provide plan review service if you complete <br />Section 5B and submit two (2) sets of plans and <br />specifications with this application. <br /> <br />MC 15-34 1/96 <br /> <br />4. FEE SCHBDULB (Complete and enter total in Al below) <br /> Number of Inspections per permit allowed -~ <br />A. <br /> Residential <br /> Per <br /> Unit <br /> / <br /> Service Included: Items Co~t (each) Sum <br /> 1000 sq. ft. or less $85.00 4 <br />Each additional 500 sq. ft. <br /> or portion thereof $15.00 <br />Limited Energy $20.00 <br />Each Manufactured Home or Modular <br /> Dwelling Service or Feeder $40.00 __ 2 <br /> <br />Service~ or Feeders (Does not include branch circuits, see section D) <br />lnstallatlon, Alteration or Relocation <br />200 amps or less $50.00 __ 2 <br />201 amps to 400 amps $60.00 ~ 2 <br />401 ampsto600 amps $100.00 __2 <br />601 amps to 1000 amps $130.00 __ 2 <br />Over 1000 amps or volts $300.00 -- 2 <br />Reconnect only $40.00 ~ 2 <br /> <br />C. Temporary ServieodFeeders <br />Installation, Alteration, or Relocation <br />200 amps or Less $35.00 <br />201 amps to 400 amps $40.00 <br />401 mnps to 600 amps $80.00 <br />Over 600 amps or 1000 volts <br />see "B" above <br />D. Branch Circuits <br />New, Alterations, or Extension Per Panel <br />a) The fee for branch circuits w_JlJa <br />p_~cfi~,~9~,~rviceof feeder fee <br />Each branch circuit $ 2.00 <br /> <br />b) The fee for branch circuits without <br /> p u rc ha e,~gLaf e ~j~e_ o_Lfe~er fee <br />First branch circuit <br />Each additional branch circuit <br /> <br />$35.00 <br />$ 2.00 <br /> <br />E. Miscellaneous (Service or Feeder Not Included) <br />Each pump or irrigation circle $40.00 <br />Each sign or outline lighting $40.00 <br />Signal circuit(s) or a limited energy <br />panel, alteration or extension $40.00 <br />P. Each additional Inspection <br />Over the allowable in any of the <br />above, per Inspection $35.00 <br />O. Minor Installation Labels <br />Pack of 10 labels @ $5.00 each $50.00 <br />(sold only to electrics I contractors) <br />H. Other <br />(As required by Building O~cial) <br />Aurora Dwelling Electrical Fee <br />Dwelling Permit Label <br /> <br /> sq. fl. x $.068 = ~ <br />ff of Labels <br /> <br />N/C <br /> <br />5. FEES Al. Enter total of fees from S~. #4 <br /> A2. Add 5% surcharge (.05 x Al) <br /> <br />Subtotal <br /> <br />B. Enter 25% of line Al for Plan Review <br /> (Sec. 3), if required <br />C. Investigation Fee (i f rcquircd) <br />D. Reinspection Fee ($25.00) <br /> <br />TOTAL AMOUNT DUE <br /> <br />Receipt No. __ <br /> <br />$ <br />$~ <br /> <br /> <br />