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FOR CITY VALIDATIONI <br />ReCeived 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 />IELECTRICAL PERMIT APPLICATION <br />Please complete all Sections, I ti;rough <br /> <br /> 1. LOCATION OF INSTALLATION <br /> <br /> ,ob,,,,,,= <br /> <br />PERMITS AKE NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT <br />ST~J~TED WITHIN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDI~) FOR 180 DAYS. <br /> <br />2~ CONTRACTOR INSTALLATION ONLY <br /> <br />2B. FOR O~"NHR INSTALLATIONS <br /> <br />Prepay Ovn~ d~l~,~ <br /> <br />Mailing Addre~ <br /> <br />3. PLANP~EVJ.~' S~CTION <br /> <br />Marion'Coumy ~!oes not require a plan review <br />We will'~rovide plan'review ser'¢ice if you complete <br />Sgctio9 ~B and subn~it two (2)se~s'of plans:and <br />~ifi6afiOns'withihis application : ~ <br /> <br />MC 15-341/96 <br /> <br /> 24 hr. Inspection;Line 373-4427 <br />Office: Phone 588-51~7 :,8:00am - 4:30pm <br />FAX: 588-7948 <br /> <br />q -o59o¢ <br /> <br />PERMIT NO: <br /> <br />D&to: <br /> <br />Issued by: <br /> <br /> 200 ampa or lcaa <br /> 201 mpa to 400 amps <br /> <br /> 401 ~unpa to 600 ampa <br /> Over 600 am~s or I000 volts <br /> <br /> a) The fee for b~aach cireui~ ~ <br /> purchase °f~/vi~ °f feeder leo <br /> <br /> b) The fee loc bFa~ch circuita ~ <br /> <br /> Fkzt branch circuit __~ <br /> Each addi~c;ual blanch circuit <br /> <br />£. Mi~xllaaeo~s (Socvlcooc Feeder Hot Included) <br /> Each pump or irdga~oa circle <br /> Each ~ign or oullia¢ lighfng <br /> Signal c/rcuit(0 ora limited eaergy <br /> <br />F. Each additional Impec~ion <br /> Over Ih~ allowable ia any of <br /> <br /> -Pack of l0 labels'@ $5.00 each <br />· (soldoalyto6lbcy. dmlcont~tctots) <br />IL' Othe~ <br /> (As ccqtdcad bzBuild3~ <br /> Ahwra Dwelling El~lrical Fee <br /> <br />$50.00 2 <br />$60.00 2 <br />$I00.00 2 <br />$130.00 2 <br />$300.00 2 <br />$40.00 2 <br /> <br />$ ZOO <br /> <br />$35.O0 <br />$ 2.00 <br /> <br />$4O.00 2 <br />$40.00 2 <br /> <br />$40D0 2 <br /> <br />$35.00 <br /> <br />N/C <br /> <br />' -- . lof(e, csfmmS~c, g4 <br /> <br /> <br />