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~ ~ MARION COUNTY BUILDING INSPECTION <br />I L--.-- ... ....... I 220Hi hSlreetNE <br />I ~,~eoDy.__d I ,¥-) ~ 0 Salem, (~regon 97301 <br /> <br /> - I '~ Code-A-Pheae: 588-7904 <br /> <br />E[--~CTRICAL PERMIT Date: <br /> APPLICATION' <br />I P/ease complete all Sections, 1 throug~j~ , cIN" '"4J [}~ Issued by: <br /> JUL 29 1997 <br /> <br />Permit No. <br /> <br />1. LOCATION O~ [N~FALLATION MARION <br /> BUILDING <br />JobAddmss 13627 Arndt Road <br />c~y Aurora [c~,s~ NE Stoller Pl. <br />~on, N. on NE Stoller Pl. 1/8 mile; left at <br /> <br />nurser~ervice 500 [ards ahead <br /> nesc~tlon Replace lO0ampmeter base for <br />irri ation um <br /> <br />pERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND <br />BXP~E IF WORK IS NOT STARTED WrFHIN 180 DAYS OF ISSUANCE <br />OR IF WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br />Elear~Contma°rDryden Electric Inc].Ph°ne981-3913 <br /> <br />Ma~ngAddmsspO Box 266, Hubbard OR 97032 <br />P~P~y°WnmFemrite Nursery Co. IPh°ne678-1261 <br /> <br />Con~ctoes Licem~ No. 24-322C <br /> <br />Comtaetofs Board Reg. No. 0098943 <br /> <br />Si~n~mr~ of su~ ~ ~ <br /> <br />S~s ~nse No. 3138S <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br />Propany Owner <br /> <br />Mailing Address <br /> <br />The instaEafion is being made ~m pmpany I own which is no~ intended for sale, <br /> <br />Owner's Signature __ <br /> <br />3. PLAN REVIEW SECTION <br /> <br />We will provide plan review service if you complete Section <br />5B and submit two (2) sets of plans and specifications with <br />this application. <br /> <br />This optional plan review program docs not suspend the <br />required submission of lighting power calculations, plans, <br />and specifications when required by the Oregon Structural <br />Specialty Code, Chapter 53. <br /> <br />MC 15-34 11/91 <br /> <br />FEE SCHEDULE (Complute amd enter to~l in A1 below) <br /> <br />A. Residential Per Unit <br /> Service Included: <br /> <br />1000 sq. f~ or less <br />Each additieoa1500 sq. ft, <br /> <br />$8S.00 4 <br />$15.00 <br /> <br />~ Energy $20.00 -- <br />Each Manufd Home or Modular <br />Dwelling Service or Feeder $40.00 -- <br /> <br />B. Servle~ o~ Feede~ (Does not inleude branch circuits, see section <br /> Instalhtion, Alterations or Rdo~atlonl <br /> 201 amps to 400 amps <br /> 401 amps to 600 amps $100.00 <br /> fiOl mnps to 1000 amps $150.00 -- <br /> Over 1000 amps or volts $300.00 <br /> Reeormect ~nly $40.00 -- <br /> <br />C. Teml~ra~y Servk-es/Feed~'s <br />Ias~lla~on, Alta-afl, n, or R~oea~on <br />200 ampa or less $35.00 <br />201 tampa to 400 amps $40.00 <br />401 amps to 600 amps $80.00 <br />Over 600 amps or 1000 volls <br /> <br />D. Branch Circuits <br /> New, Alteragon, or Extortion Per Panel <br /> <br /> a) The fee for branch circuits wi~ <br /> pprehase of service or feeder fee <br /> <br /> Each branch circuit <br /> <br /> b) The fee for brauch clouts without <br /> marchase of service or feeder fee <br /> <br /> Fin branch drcuit $35.00 <br /> Each additional branch d~rcuit $2.00 <br /> <br />E. Miscellaneous (Service orFeeder Not Included) <br /> Each pump or irrigation circle $40.00 <br /> Each sign or outline lighting __ $40.00 <br /> Signal drcuR(s) or a th~ted en~gy <br /> panel, alteration or excision ~[0.00 <br /> <br /> E Each additional Inspection <br /> over die alinwab]e in any of die <br /> above, per Inspection $35.00 <br /> <br /> G. Minor Installation Labels <br /> Pack (:4 10 lal~ls @ $5.00 each $50.00 <br /> (#old o~ly to *lectrk'el comractor~) <br /> II. Other <br /> ( A~ r~q,ired by Buil~g Official) <br /> <br />5. FEES <br /> Al. Enter tmal of fees flora Sec. #4 $ 50.00 <br /> A2. Add 5% surcharge (.05 x Al) $ 2.50 <br /> Smxo~ $ 52.50 <br /> <br /> B. Enter 25% of line A 1 for Pla~ Review <br /> (Sec. 3),if required $ <br /> C. Investigation Fee (if ~eqin~d) $ <br /> D. Reinspactic~ Fee ($25.00) $ <br /> TOTALAMOUNTDUE $ ~2. ~f} <br /> <br />Receipt No, <br /> <br /> <br />