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FOR crrY USE ONLY <br /> Received By: Date: <br /> ZoninS By: City: <br /> Receipt #: Amount: $ <br /> <br /> ELECTRICAL PERMIT APPLICATIO~ I <br /> Please complete~ ~ Sections, <br /> <br />1. LOCA~ION OF INSTALLATION <br /> <br /> ~ ~ption <br /> <br /> IS NOt S~RTED WITHIN I80 DAYS OF ISSUANCE OR IF <br /> <br />2A. CONTRACTOR INFORMATION <br /> <br />I am the PROPERTI( OWNER and own, reside in, or will reside in <br />the completed structure and will he my own general contracton 1 <br />undersWald that I must ~t as a Construction comractor <br /> <br />structure is sold or offered for sale before or upon completion. Ill <br />hire subcontractors I will hire ord) subcontractors registered with <br />the Constnwtion Contractors Board. lf l change my mind and do <br />hire a general contractor who is registered widi the'Construction <br />Contractors Board. I will immediately notify Marion County of the <br />name of the contractor. <br /> <br />Marion County do~s not require a plan review. We will provid* plan I <br />review service if you complete Section SB and ~ubmit t~O (2)sets Of <br />plans and sp~ific~aions with this application <br /> <br />MC 15-34 Rev 9~98 <br /> <br /> MARION COUNTY BUILDING RqSPECTION <br /> 3150 Lancaster Dr. NE - Suite C <br />Salem, Oregon 97305 <br />8:00am - 4:30pm 24 HR Inspection Line 373-4427 FAX 588-7948 <br /> <br /> 4'. FEE SCHEDUL~ (complete ~md- ~o~1. Al) <br /> <br /> Number of Insp~tlons per permit al owed <br /> .~.' P.~aMenti~l Per UnR ~: <br /> <br /> : , nem~ Cost/t~h) Sum <br /> 1000 sq. ft. or Ic~ , x $110.0~ = $ 4 <br /> Each additional 500 sq. ft. or portion thereof x $°20.00 = $ <br /> Limitcd Encr§y x $30.00 = $ <br /> Earth b~anufactu~d Home or <br /> M~a~lar Dwelling Se~4ce or Feeder x $52r00; $ 2 <br /> B~ ~rvi~ or Feed.r~ ~ not h~h~do brnne, h Clretl~. see ~c~on'D) <br /> <br /> O~er~600 anips or i000v~olts se~"B':,ahav~ ' ' <br /> ~tw, 4 ~a~ or ~x ~o~ rer Pan~] <br /> <br /> Each branch~ircuit -'~ ~3.00~ $ , <br /> bi The fee for hraach circuRs .ithoat the <br /> <br />B. Enter 30% of line Al for Plan Review <br />C, IavesUgation Fee (if required} <br />D. Reiaspection Fee ($50.00) <br />E. Additional P1/m ReView [$62.50/hr. ' - ' <br /> minimum one-half hour) <br />E Inspection for which no fee is specifically~indicated. <br /> ($62.50/hr. minimum one hour~ <br />G. Inspection Outskle Normal Business Hours, <br /> ~$62.50/hr. minimum two hours) <br />H. Industrial Plant I$62.50/hr) <br /> <br />TOTAL AMOUNT DUE <br /> <br />SUBTOTAL $. <br /> <br /> $. <br /> $ <br /> <br /> $ <br /> <br /> $ <br /> $ ~ <br /> <br /> <br />