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* MARION COUNTY BUILDING INSPECTION FOR'OFFICE USE ONLY Reeeived by: 220 High Street NE Date: Salem, Oregon 97301 Phone 58g-5 t47 ELECTRICAL PERMITAPPLICATION"]~I ~ ~ Date'. 1 1996 Please complete all Sections, I through-5-1 ' - I '~ - Issued by: MARION C( BUILDING 1. LOCATION OFINSTALLATION $obAddress 20167 Grim Road NE Aurora I Cr~sS~ Boones Ferry Road r~moJ~s High school football field r~scfipaon Service and lighting of football , PERMITS ARE NON-TRANSFERABLE AND NON-R~FUNDABL~ AND t~PIRE IF WORK IS NOT STARTED wrrHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS. 2A. CONTRACTOR INSTALLATION ONLy Dryden Electric In4Ph°ne 981-3913 ~leafical C~tractor Mai~ngAddressPO BOX 266, Hubbard OR 97032 Pmp~yO~nerNorth Marion Schools IPh°ne 982-9887 Contractor s [/een sc No. 24-322C Conuacmfs Board Reg. No. 98943 [ ~ob No. Signature of Supemdslng Electrician ~- ~... Supetviso,'s License No, 3138S [ Phene N98~-3913 2B. FOR OWNER INSTALLATIONS Prope~ Owner M~tiling Address Phene City/State/Zip The imtellatlo~ is being made cm property I own which is nc~ intended for sale, Owners Signam~ 3. PLAN REVIEW SECTION We will provide plan review service ff you complete Section 5B and submit two (2) sets of plans and specifications with this application. This optional plan review program does not suspend the required submission of lighting power calculations, plans, and specifications when required by the Oregon Stmctmal Specialty Code, Chapter 53. MC15.34 11191 Permit No. 5. FEES Al. Enter tclal of fees from Sec. #4 A2. Add 5% surcharge 605 x Al) Subtotal B. Fmter 25% of line A1 for Plan Review (S~c. 3),if mqulmd C. ]nvestigatiooFee (if requited) D. Reinspecti~m Fee ($25.00) TOTAL AMOUNT DUE 275.00 13. /b 288.75 288.75 Receipt No. ~'[~lgl~CHEDULE (Compl~t e ~nd enter total in Al below) Number of Inspections per permit allowed A. ResMentlal P~r Unit / Service ]nd~ded: Items Cost (each) Sum/ 1000 sq. ft. or less $85.00 4 m~'po~r~ou ~hemof $15.00 Lh~teJ Enemy $2O.00 __ Each M~mufd Home or Modular DweLting Service or Feodez $40.00 -- ~. Sertlees or Feede's (Does no~ inlcude brach ci~-uit% ~ ~ 200 amps or less I~ 2 201 amps m 400 amps ..,I~60 ~)0 2 401 amps m 600 amps $100.00 601 amps m 1000 amps T $130.00 Over 11300 ~aps or vohs $300.00 2 Receanoct only $40.00 2 C. Temporary Services/Feeders Installation, Alteration, or Rdocatioh~ 200 amps or less $35.00 201 maps to 400 amps ! "' $40.00 401 amps to 600 amps $80.00 Over 600 amps or 1000 volts D. Branch Circuits New, Alteration, or Extqmslon Per Panel a) Th~ fee for branch circuits wi~ vurchase cf serviee or feeder fee Each Wanch circuit 20 SZ00 40.00 b) The fee for branch drcuts wilhout o'archase cf service or feed~ fee First branch ch~uh $$8.00 Each additional branch circuit $2.00 E. Miscellaneous (Service or Feeder Not Included) Each pump ~ irdgati~ circlo $40.00 Each sign or outline lighting $40.00 __ Signal circuit(s) or a limited ene.~y panel, alteration or extension $40.00 F. Each additional Inspocti~n over the allowable in any of the above, per lnspec~on $~5.00 G. Minor Installation Labels Pack of 10 labe~ @ $5.00 each $~0.00 (sold only to eIectrlcal contractors} IL Other ( As r~quired by Building Official)