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ELEC - 1467411
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Last modified
2/3/2017 10:09:44 AM
Creation date
8/9/2004 2:32:06 PM
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Permits
Permit Address
10313 MILL CREEK RD SE
Permit City
Aumsville
Permit Number
555-96-08697
Parcel Number
081W31AA01000
Permit Type
ELEC
Permit Doc Type
Permit Document
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FOR CITY VALIDATION[ <br />Received by:. <br />Date: <br /> <br />Salem, OR 97301 <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> 285 Church St NE · Room 132 pI=RMIT NO:_ <br /> <br /> 24 hr. Inspection Line 373-4427 <br />Office: Phone 588-5147 8:00am - 4:30pm <br />FAX: $88-7948 <br /> <br />ELECTRICAL PERMIT APPLICATION I <br />Please complete all Sections, I through 5 <br /> I <br /> <br />I. LOCATION OF INSTALLATION <br /> <br /> , , <br /> <br /> ST~ ~ 1~ DAYS OF ISSU~ OR IF <br /> <br />Issued by: ~ <br /> <br />4. ~E]~ SCH~D~-L~ (Complete and eater total in A1 below) <br /> <br />A. Realdential Per Unit Nmnber ofI~pecfions p~ ~it allowo,, q~ <br /> ~vi~ lnclud~: Itaw~ ~st (each) Su <br /> mt <br />1~ sq. fi. ~ less $85.~ 4 <br />~eh adthtionfl 5~ sq. ft. <br /> or ~ion ~e~f $15.~ <br /> <br />~eh M~ufactu~ H~e or Mo~l~ <br />~elling Se~ice or ~er ~ M0.~ <br /> <br />B. S~vi~ ~ F~a (~ not incl~e branch ciguit~ s~e s~ction D) <br /> <br /> Installation, Alteration o~ Relocation <br /> 200 amps or less $50.00 2 <br /> 201 amps to 400 amps $60.00 2 <br /> 401 amps to 600 amps $i00.00 2 <br /> 601 amps to 1000 araps $I30.00 2 <br /> Over 1000 amps or volts $300.00 2 <br /> Reconnect only $40.00 2 <br /> <br />C. Temporary Servi~a/Fe~d~rs <br />Installation, Alteration, or Relocation <br />200 amps or less $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 Circuits <br />New, Alterations, or Extension Per Panel <br />a) The fee for branch circuits with <br /> purchase of service of feeder fee ff~ <br /> Each branch circuit $ 2.00 -- <br /> <br />b) The fee for branch circuits without <br /> nurchaae of service or feeder fee <br />First branch circuit <br />Each additional br~qch circuit <br /> <br />$35.00 <br />$ 2.00 <br /> <br /> Phone~ <br /> <br />2B. FOR OWNBR INSTALLATIONS <br /> <br /> Property Owner (pleavgprint) <br /> Msiling Address I one <br /> City/State/Zip <br /> Owner's Signature: <br /> <br /> 3. PLAN RBVIBW SBCTION <br /> <br /> Marion County docs 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 15-341/96 <br /> <br /> (Se~vie~or Feeder Hot Included) <br />Each pump or irrigation circle $40.00 2 <br />Each sign or outline lighting $40.00 2 <br />Signal circuit(s) or a limited energy <br />panel, alteration or extension $40.00 2 <br />F. Each addhional In~p~tioa <br />Over the allowable in any of the <br />above, per lmpection $35.00 <br />G. Minor Installation Labels <br />Pack of 10 labels @ $5.00 each $50.00 <br />(sold only to olectrieM contractors) <br />H. Other <br />(As r~l~ired by Bnilding OIFtcisl) <br />Aurora Dwelling Electrical Fee <br /> Dwelling Permit Label # of Labels N/C <br /> <br />sq. fi. x $,068 = <br /> <br />5. FEES <br />A 1. Enter total of fees from Se~. #4 $.__ <br />A2. Add 5% surcharge 605 x Al) $.__ <br /> Subtotal $.__ <br /> <br /> B. Enter 25% of line A1 for Plan Review <br /> (Sec. 3), if required $.__ <br /> C. Investigation Fee (if required) $.__ <br /> D. Reinspeetinn Fee ($25.00) $.__ <br /> <br /> TOTAL AMOUNT DUE $.__ <br /> Receipt No. <br /> <br /> <br />
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