Laserfiche WebLink
FOR CITY VALIDATION <br />Re~iveA by: <br />Date: <br /> <br /> MARION COUNTY <br />',BUILDING INSPECTION DIVISION <br />3150 LANCASTER DR NE - SUITE C <br />SALEM OREGON 97305-1398 <br /> <br /> 24 hr. Inspection Line 373-4427 <br />Office: Phone 588-5147 8:00am - 4:30pm <br />F~: ~88~7948 <br /> <br />IELECTRICAL PERMIT APPLICATION <br />Please complete all ~ections, I through <br /> <br /> L LOCATION OF INErALLAT[ON <br /> <br />PERMITS ARE NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT <br />STARTED WITItlN 180 DAYS OF ISSUANCE OR IF <br /> WORK I$ SUSPENDF:D FOR 180 DAYS. <br /> <br />2A. CONTRACTOR IHSTALLATION ONLY <br /> <br />Address <br /> <br />Phone# <br /> <br />No. <br /> <br />Conwactor's Bo;m/Pa;g No. <br /> <br />Signature of Supervisin~ Electrician <br /> <br />Supervisor'~ Liceme No. <br /> <br />2]8. FOR OWN'~ INSTALLATIONS <br /> <br />3. PLANRBVIBW 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 subrfiit two (2) sets ofpla~ and <br />specifications with this application. <br /> <br />MC 15-341/96 <br /> <br />Dato: <br /> <br />Issued by: <br /> <br />I~ sq. ~ ~ I~ $~.~ 4 <br /> <br />or ~ ~f $15.~ <br />~i~ ~ $20.~ <br />~h M~ fac~ H~e or ModM~ <br />~i~r ~ $~.~ 2 <br /> <br /> 201 aml~ to 400 amln $60.00 2 <br /> 401 aml~ [o 600 angn $100.00 <br /> r~I amln to 1000 m~ $1 ~0.00 <br /> Over 1000 amp~ or ,,~Its $300.00 2 <br /> R~:onn~ct only $40.00 __ 2 <br /> <br />C. Temper ary <br /> <br /> 200 amps or le~ $35.00 <br /> 201 amtn to 400 rain $4000 2 <br /> <br /> a) T~e fee f~r b~meh circuits <br /> <br /> Fimt br~Ot olm~it $35.00 -- <br /> F.~¢h ~ddifioMl br~n~h ¢im~it $ 2.00 -- <br /> <br />5. FEES <br /> A 1. Entex total of fees from See. <br /> A2. Add 5% surcharge (.05 x Al) <br /> <br />Subtotal <br /> <br />B. EOteC25% ofllaeA1 for Plaa Review <br />(See. 3), if f~uif~d <br />C. InvestlgaQon F~ (if r~quired) $.__ <br />D. Reln~pectlon Fee ($25.00) $--~-,--~ <br /> <br /> TOTAL AMOUNT DUE <br />P~c~ipt No. <br /> <br /> <br />