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ELEC - 1388407
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ELEC - 1388407
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Last modified
2/9/2013 2:05:17 PM
Creation date
3/5/2004 1:43:26 PM
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Permits
Permit Address
6164 SHAW LN SE
Permit City
Aumsville
Permit Number
555-96-03545
Parcel Number
082W24A 00600
Permit Type
ELEC
Permit Doc Type
Permit Document
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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 /> PERMIT NO: <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all Sections, I through <br /> <br />Salem, OR 97301 <br /> <br /> 24 hr. Inspection Line 373,4427 <br />Office: Phone 588-5147 8:00sm - 4:30pm <br />FAX: ~8-7948 <br /> <br />1. LOCATION OF INSTALLATION <br /> <br /> PEtLMITS ARE NON-TRANSIaERABLE AND EXPIRE IF WORK IS NOT <br /> STARTED WITI-HN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br /> 2A. CONTRACTOR INSTALLATION ONLY <br />I Eleclrical Co~acmt Phone <br />M~iling Addre~ <br />Prope~y Owner } l'bo~e <br /> <br /> Co~c~or's Liceme No. <br /> Comr~c~or's Board Reg. No. I ~ob No. <br /> $~gna~re of Supervising ~ech'ici~ <br /> S-per~bor's lJce~ee No. I <br /> <br />3. PLANREVIEW SECTION <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 />Date: <br /> <br />Issued by: <br /> <br />4. FEI1 SCHEDULE <br /> (Complete and entec total in A 1 <br /> below) <br /> <br />A. R~uidential Per Unit Numberoflnsp~tinna perpermit allowed ='-7__ <br />,%rvio~ Included: Items ~ (each) Sum I <br />1000 sq, fl. ar le~ $85.00 4 <br />Each addilional 500 sq. ft. <br /> <br /> ar portion thereof $15.00 <br />Limited Energy $'20.00 <br />Each Manufactured Home or Modular <br /> Dwelling Service or Feeder $40.00 <br /> <br />B. Servieea or Feeders (Doea not inelud~ branch cir~itm see section D) <br /> <br /> 1 <br /> <br />_2 <br /> <br /> In~tallatloo, Alteration ar Rek~atien <br /> 200 amps or le~ $50.00 2 <br /> <br /> 401 ~ to 600 ~ $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. Temparary 8erviees/Feedors <br />Installation, Alteration, or Rdoeatinn <br />200 an~ or le~ $35.00 2 <br />201 amps to 400 amps $40.00 2 <br />401 amps tO 600 amps $80.00 2 <br />Over 600 amps or 1000 volts <br />see "B" above <br />D. Branch Cirouits <br />New, Alterationa, or Extension Per Panel <br />n) The fee for branch circuits with <br />purchase of service of feeder fee <br />Each branch circuit $ 2.00 <br /> <br /> b) The fee far branch circuits without <br /> purchase of service ar feeder fee <br /> Fu'st branch circuit $35.00 <br /> Each additional branch circuit $ 2.00 <br /> <br />E. Mbedlaneens (servloe or Feeder Not Included) <br />Each pump ar irrigation circle $40.00 2 <br />Each sign or outline fighting $40.00 2 <br />Signal circuit(s)or a limited energy <br />panel, alteration or ex/emioo $40.00 2 <br />P. Each additional ln~peetlon <br />Over the allowable in any of the <br />above, per Impection $35.00 __ <br />O. Minor Installation Labels <br />Pack of 10 labels ~ $5.00 each $50.00 <br />(~oid only to electrical co~ractor~) <br />H. Other <br />(As required by BOil&'~g Official) <br /> Aurora Dwelling Electrical Fee .W. fi. x $.068 = ~ <br /> Dwelling Permit Label # of Lahels. N/C <br /> <br />FEES <br />Al. Enter ~o~al of fec~ from Sec. fi4 $~ <br />A2. Add 5% surcimrgc (.05 x Al) $.~ <br /> Subtotal $.~ <br /> <br />B. Enter 25% of line A 1 for Plan Review <br /> (Sec, 3), if required <br />C. Investigation Fee (if required) <br />D. Reimpeetion Fee ($25.00) <br /> <br />Receipt No. <br /> <br />TOTAL AMOUNT DUB <br /> <br />MC 15-$41/96 <br /> <br /> <br />
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