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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER {~/Jlgd <br /> VALIDATION!I 285 Church St NE' Room 132 pERM~No- ('$ <br /> FOR <br /> CITY <br /> Saturn, OR 9.0t <br /> ReCeived by:. <br /> 24 Hr Inspection Line: 588-7904 ~'~/~'q/0,~/ ' /,~-@~ <br /> Off'w,m: 588-5147 8:00a.m.-4:30pan. __~./d/At~ o' CD/ '"@ <br /> ~s~. ~_'~ I~UeO Dy'JO'/~. ~[/~.. <br /> <br /> Please complete all Sections, I through 5 4. ]qg]R SCHI~D[J-L~ (Complem and enter total in Al below) <br /> 0~ Ntanber of Inspections per permit allowed '---1 <br /> 1. LOCATION OF HqSTALLATION A. Re~ideatisl Pe~ <br /> Service Included: Items Cost (each) Sum <br /> 1000 sq. ft. or less $85.00 4 <br /> /obAddre~ // 32y E~t,.~/g] i~. liachedditionalS00sq, ft~ <br /> ,4ug0 , o pe on s,5.0o <br /> Limited Energy $20.00 __1 <br /> ]~ach Manufactured Hc~ne or Modular <br /> DwelEng Service or Feeder $40.00 2 <br /> <br /> B. S~rvie~s ~ Feeders (Does not include branch circuits, see seetion D) <br /> lnntnllation, Nt cation or <br /> 200 amps or less $50.00 <br /> Deaeripti~ /,~ ff / ~-~ /]'~'~ (-4~.~t~ M~g~'t[~,~ 20tampsto4OOamps $fi0.00 2 <br /> J~,~f,, ~,/.,~ $- /~t,~. 1~4/~ ~ ~g~M~k~J' 401aml~ tO 600 amps $100.00 __2 <br /> . 601 amps to 1000 amps $130.00 2 <br /> [ Over 1000 amps or volts $30D.00 2 <br /> PERMITS ARE NON-TRANSFERABLE AND [D~IRE IF WORK IS NOT Reconnect only $40.00 2 <br /> STARTED WITtRN lS0 DAYS OF ISSUANCE OR 1F I -- <br /> WORK IS SUSPENDED FOR 180 DAYS. C. Temporary Services/Feeders <br /> Installation, Alt~atlon, or Relocation <br /> 200 amps or less $35.00 2 <br /> 2A. CONTRACTOR INSTALLATIONONL¥ 201 ampsto400amps $40.00 ~2 <br /> ~/~ 401 amps to 600 amps $80.00 __2 <br /> Effctxicaleont~actor ~fl,~ ~'~(.,f-~lff.,fft Phone ~7~'-[J~"~t- Over 600 amps or l000 volts <br /> ~ "B~ above <br /> Mailing Address ~ff, ~.~' ~5~ ~,~4t~.,~! ~/~.,. ~]~2~ D. Branch Circuits <br /> <br /> a) The fee for branch circuit~ ~ <br /> PwpenyOwner /~/~g~t~ 7"~ff, a~' Phone bT~-/2,el purchaseofserviceoffeederfee <br /> <br /> Contractor's Liceme No. ~..~'/'~7C Each branch circuit $ 2.00 -- <br /> ., -t-- ~ I ~ [ [ h) The fee for branch ¢ircult s :~fl~to3~X <br /> · ---'-' ~ --~/ ~ First~'ennch circuit $35.00 <br /> <br /> Supervisor s Licem= No ~ Phon <br /> . ~./~ ~ : I ~'~7. : ;~5'g'/~ampoCL'~ig~.a,~ .~ . $40.00 <br /> - / I Each sign or outrtne lighting $40,00 -- 2 <br /> ~r'~.~ signal circuit(s) or a limited energy <br /> 2B. FOR OWNER INSTALLATIONS F. Baeh additional Inspection <br /> <br /> CitT/Sta~aZip (As reqmrcd ~y B~ildiag OGcial) <br /> <br /> Al. Entar total of fees from See. 84 $ ,,~7, <br /> <br /> 3. PLAN RBVIBW 8BCTION <br /> <br />Marion County does not require a plan review. (se~. 3), ir'required $. <br /> C. Investigation Fee (if required) $ <br />We will provide plan review service if you complete D. Reinspeetion Fern ($25.00) /g <br />Section 5B and submit two (2) sets of plans and 'rOT~S,L ~otn, rr mm V/$ ~.r. <br />specifications with this application. Receipt No. <br />MCJ$-34_ 1~ <br /> <br /> <br />