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'l MARION COUNTY <br /> FOR CITY VALIDATION/ BUILDING INSPECTION DIVISION r~t~vui <br /> / 3150 Lancaster Dr. NE - Suite C / <br /> Received By:--/ Salem. Oregon 97305-1398 / Date:__ <br /> Date: __ I 24 HR Inspection Line 373-4427 / <br /> .. _ ~. Office: phon. e S88-5~.47 8:00am - 4:~/~pm ~._,. Issued by: __ <br /> 88-7948 <br /> <br /> ELECTRICAL PERMIT APPLICATION I <br /> ~. 2"'..'-- 7'.7'-"7'2 I ~k~l~ll]l~CIl~DULE(completeand enter total in Al below) <br /> Please complete all Sections, 1 through 5 I '""FA}/ Numberoflnspectionsperpermitallowed~ <br /> <br /> 1. LOCATION OF INSTALLATION " I - $ · <br /> ft. <br /> $15.00 <br /> Energy $20.00 1 <br /> Each Manufactured Home or <br /> Modular Dwelling Service or Feeder $40.00 2 <br /> <br /> B. Services or Feeders (Does not include branch circuits, see section D) <br /> <br /> PROPERTY OWNER Installation, Alteration or Relocation ~ <br /> 200 amps or tess ~ $50.00 ~ 2 <br /> 201 amps to 400 amps $60.00 2 <br /> 401 craps lo 600 amps $100.00 2 <br /> CROSS STREET/ 601 amps to 1000 amps $130.00 2 <br /> DIRECTIONS Over 1000 amps or volts $300.00 <br /> Reconnect only $40.00 2 <br /> PROJECT DESCRIPTION . C. Temporary Services/Feeders <br /> Installation, Alterations, or Relocation <br /> 200 amps or less $35.00 2 <br /> PERMITS ARE NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT 201 amps to 400 amps $40.00 2 <br /> STARTED WITHIN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. 401 amps to 600 amps $80.00 2 <br /> Over 600 amps or 1000 volts see "B" above <br /> <br /> 2A. CONTRACTOR INSTALLATION ONLY ~;ew, Alteration, or Extension Per Panel <br /> Electrical Contractor ~ ........ '* / <br /> <br /> 2B. FOR OWNER INSTALLATIONS lack of 10 ]abels ~$S.00 each $50.00 <br /> <br /> Owner's Signature 5. FEES <br /> 3. PLAN REVIEW SECTION ~. A0a S~ surch~e (.0S x ^l) $ <br /> <br /> Marion County r~.r,,,ire Alan a. Enter 25% of line A1 for Plan Review <br /> does <br /> a <br /> We will provide plan review service if you complete ¢. (S~.tnvesti~ation3), if re,luireaFee (if requixed) sS <br />ISection 5B and submit two (2) sets of plans and v. Reinspection Fee ($25.00) $ <br />[ specifications with this application. Receipt No. TOTAL AMOUNT DUE $ <br /> <br />MC 15-34 7/97 <br /> <br /> <br />