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Receiv~[ By: <br /> <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 /> FAX 588-7948 <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all Sections, 1 through 5 <br /> <br />1. LOCATION OF INSTALLATION <br /> <br /> PROPERTY OWNER ' ~ -- <br /> <br />PERMITS ARE NON-TRA/qSi~,ABLE AND EXPIRE IF WORK IS NOT [ <br /> STARTED WITHIN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPEIqDED FOR 180 DAYS. <br /> <br />iA. CONTRACTOR INSTALLATION ONLY <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br /> Property Owner (please pdnO <br /> <br /> Mailing Address <br /> <br /> City, State, Zip <br /> <br />3. PLAN REVIEW SECTION <br /> <br /> Marion County does not require a plan review. <br />[ We will provide plan review se~ice if you complete <br />[ Section 5B and submit two (2) sets of plans and <br />specifications with this application. <br /> <br />MC 15-34 7/97 <br /> <br />PERMIT NO: <br /> <br />Date:. <br /> <br />Issued by: <br /> <br />4. FEE SCHEDULE (Complete sad entec total in Al below) <br /> <br /> A. Residential Per Unit <br /> Service Included: Items Cozt (each) Sum <br /> tO0~ sq. R. or tess $85,00 4 <br /> Each additional 500 sq. ft. <br /> or ponion thereof $15.00 <br /> Limited Energy $20.00 I <br /> Each Manufactured Home or <br /> Modular Dwelling Service or Feeder SAO.O0 2 <br /> <br />B. Services or Feeders (Does not Include branch eirctat% see seefloa D) <br /> lo.~tall~tioR, Alter~tten or Rd~'-at ton <br /> 200 amps or less $~0.00 2 <br /> 201 amps to 400 amps $~0.00 2 <br /> 40t amps to 600 amps $ 100,00 __ 2 <br /> 64)1 ampsto 1000amps $130.00 __ g <br /> Over 1000 amps or volts $300.00 2 <br /> Reeonnoct only ~g).00 __ 2 <br /> C, Terapora ry Ser vie~/Fe~ers <br /> [nstellation, AIterallon$, or Relo~l~an <br /> 200 amps or less $35.00 2 <br /> 201 amps to 400 amps $40.00 __ 2 <br /> 401 amps to 600 amps $80.CO 2 <br /> Over 600 amps or 1000 vo[l$ see "B" above <br /> D, Branch Ci~euil$ <br /> <br />5o <br /> <br />Subtotal <br /> <br />B. Enter 25% of llne A1 for Plan Review <br />(Sec. 3), if reduirad $ <br />C. Investigation Fee (if required) $ <br />D. Reinspec,ion Fee ($25.00) $$ ~ <br /> TOTAL AMOUNT DUE <br /> <br /> <br />