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FOR oFFicE USE ONLY [ <br />Received hy: <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all Sections, I through 5 <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> 220 High Sheet NE <br /> Salem, Oregon 97301 <br /> <br /> Phone 588-5147 8.00 mn - 4:30pm <br /> <br /> I SEP I 7 1997 ~: <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />MARIOt <br />n.. ,. NG <br /> <br />I]~PIRE IF WORK IS NOT STARTleD W1THIH 1 $0 DAYS OF ISSUANCE <br />OR IF WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALI.~TION ONLY <br /> <br />,,~,~,A~,~,, -1% <J,~o~ ~. 0,~ ~'1~ I <br />PropenyOwner ~t[(,~i~ '~ L~..~"~ [PI~ ..l~_.~l..lO,1~ <br /> I <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br />Property Owner <br /> <br />A~ling Address <br /> <br />, The instalhfi~m is being ma& cn pmpany I own whi& is not intended fo~ sale, <br /> <br />Owner's Signam~ <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 o[ pl~aq and specifications with <br />this application. <br /> <br />This optional plan review program does not suspend the <br />required submission of lighting pow~ calculations, plans, <br />and specifications when required by the Oregon Structural <br />Specialty C~, Chnpter 53. <br /> <br />MC 15-$4 11/91 <br /> <br />Permi~ No. <br /> <br />! C~' ~CHEDULE (C°mptem md eamr t°mlin Allnspecfl~s p~w)~lt .m <br />INS PECTION ~.m~ d .mt~ ~ <br /> i. R~ ~ Unit l <br /> <br /> 1~ sq. ~ ~s $~.~ 4 <br /> E~5~sq.~ <br /> ~~ *~*.oo <br /> <br /> ~ ~ ~ ~m $~.00 2 <br /> <br /> ~s $ $~.~ ~*~ 2 <br /> ~1 ~ m~ps 2 <br /> <br /> ~00.~ 2 <br /> $40.00 2 <br /> <br />C. Tempm'ary Se~iees/Feed~s <br />lnstalhflon, Alteration, or Rdo~flon <br />200 amps or less $35.00 <br />201 ~mps m 400 amp~ $40.00 <br />401 stops m 6~0 amp~ $80.00 <br />Over 600 amps or 10~0 vohs <br />se6 "B' above <br /> <br />D. Branch ClrcuRs <br /> New, Alta-anon, or Extension Per Panel <br /> <br /> a) The fee for brach circuits wi~ <br /> ourchase of seoAce or feeder fee <br /> <br /> Each branch circuit ~-~ $2.00 <br /> <br /> b) The fee for branch clrcuts v. dthom <br /> vurchsse of sendce or feeder fe.~ <br /> <br /> First brmch circuit $05.00 <br /> Each addido,~al bi. ch circuit $2.00 <br /> <br />E. Misce]bneous (Service or Feeder Not Included) <br /> Each tx~rnp or iniga~ic~ circle <br /> __ :o°o° <br /> Signsl ~'cult(s) or a ]~l~t~t energy <br /> prod, nitration or exmndo~ $40.00 <br /> <br />F, Each additional l~spe~floa <br />over the allowable in any of the <br />above, per Inspection $35.00 <br /> <br />G. Miner Installation labeb <br /> Pack ef 10 labels @ $$.00 e~ch $50.00 <br /> (~o~l o~ly to electrical co~cW~) <br /> <br />H. O~er <br /> <br /> <br />