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FOR CITY VALIDATION1 Received by:. [ Date: ] MARION COUNTY BUILDING INSPECTION COMMUNITY DEVELOPMENT CENTER 285 Church St NE · Room 132 Salem, OR 97301 24 hr. Inspection Line 373-4427 Office: Phone 588~5147 8:00am - 4:30pm FAX: 588-7948 ELECTRICAL PERMIT APPLICATION Please complete all Sections, I through 5 2A, COHTRACTOR INSTALLATION ONLY Property Owner Contractors License No. 1 Contractor's Board Rog No. ] Job No. Signature of Supervising Electrician Supervisor's License No~ FOR OWHItR INSTALLATIONS I Phone# P~per~y Owner (please print) 3. PLANRBVIEW SBCTION Marion County does not require a plan review. We will provide plan review service if you complete Section 5B and submit two (2) sets of plans and specifications with this application. MC 15-$41/96 PERMIT NO: Date: Issued by: 4. FEE SCHEDULR (Complete and enter tutal in Al below) A. Residential per Unit Number oflnspeedons per permit alloweu -~ 8etvine Included: Items Cost (each) S .mt 1000 sq. fi. or less $85.00 4 Each additional 500 sq, fL ,ar portion Ihereof $15.00 Limited Energy $20.00 1 Each Manufactm'ed Home or Modular Dwelling ,~rvice or Feed~Yt $40.00 -- 2 B. S~vkm~ or Feeder s (Does not include branch circuits, see section D) Installation, AIt~ation or Relo~ation 200 amps or less 20i amps to 400 amps ~9,t Imps to ~00~mps · ~..~:amps to 1000 ~mps t-Z~r 1000 ~nps or vol~ R¢corm¢ct only C. Temporary ~rvieedFe~ders Installafmn, Altatatinn, or Relocation 200 amps or less 201 amps to 400 snaps 401 amps to 600 amps Over 600 amps or 1000 volts D. Branch Circuits Hew, Alterations, or E~ension Pet Panel a) The fee for branch circuits ~ ourchase of service of feeder fee Each branch circuit $50.00 -- 2 $60.00 -- 2 $100.00 __2 $130.00 2 $300.00 2 $40.00 -- 2 $35.00 2 $40.00 2 $80.00 2 $ ZOO $35.00 $ 2.00 __ E. Miscellaneous (Serviceor Feeder No~ Included) Each pump or irrigation circle $40.00 -- 2 Each sign or outline lighting $40.00 -- 2 Signal circuit(s) or a limited energy panel, alteration or exten~inn $40.00 -- 2 F. Each additional ln~p~tlon Over the allowable in any oflhe above, p~r Inspection $35.00 -- (]. Minor Inatallation Labela Pack of 10 labels @ $5.00 each $50,00 -- (sold o.ly to electrical contractors) H. Othe~ (As required by Bail.ag Official) Aurora Dwelling Electrical Fee --~q. fl. x $, 068 = __ Dwelling Permit Label # of Labels NfC 5. FEES Al. Enter total of fees fmln Sca. #4 $.__ A2. Add 5% surcharge (.05 x Al) $.__ Subtotal $.__ B. Enter 25% of line Al for Plan Review (Sec. 3), if required $.__ C, Investigation Fee (if required) D. Reinspection Fee ($25.00) TOTAL AMOUNT DUE . Receipt Ho.