Laserfiche WebLink
Received By;; <br /> <br />°ate,, <br /> <br />MARION COUNTY BUILDING iNSPECTION <br /> <br /> 220 High Street NE <br /> ~alern, Oregon 97301 <br /> <br /> PhOne 5P~J-5147 <br /> Code-A-Phone 4:30 BM. - 8:00 A.M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Situe Address:: ! Cross Street;; <br />~,~ ~ ....... <br /> <br /> Ele~i~a~ Cont~No :~ Home Builder's Registration No,,:: <br /> <br />Superv~in~ ~se of ,x New ~ Addition D Occupan~ <br />Eledrician~No :: /~?~ Building:: ....~,~ Alterationa Rel~ation ~ Cha~ge O <br /> <br /> No. RESIDENTIAL <br />__ Residence wiring less then 1000 sq. ft ............ @ $ 30,00 <br />__ Residencewiringlessthan2000sq. ft ...................................................... @$ 50.00 <br /> // Residencewiringover2000sq. ft .............................................. @$ 70,00 <br /> Electric heat installation in existing residence ........................ @ $ 20.00 <br /> SERVICES <br />__ Temporary Construction Service ................................................. @ $ 20.00 <br />__ Service change only in an existing residence ................ @ $ 2000 <br /> Commercial Ct' Industrial: <br />__ Servicenotoverl00arnperes @$ 30/60 <br />__ Service over 100 amperes but not more then 200 amperes ..... @ $ 8000 <br />__ Service over 200 amperes but not more then 400 amperes ....................... @ $ 70,00 <br />__ Service0ver400amperesbutnotmorethan600amperes ........................... @ $ 100,00 <br />__ Serviceover6g0amperes .......................... @ $ 130,00 <br />__ Serviceover600volts .................................................................. @ $ 300.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Inetallatlon of Alterations or Relocation of Dlatrlbutlon Feeders= <br />__ Notmorethan 100amperes ........... @ $ 2000 <br />__ Overl00amperesbutnotmarethang00amperee .................................... @$ 30.00 <br />__ Over 200 amperes but not more then 400 amperes ...... @ $ 8000 <br />__ Over400emperes .......................................... @$ 60.00 <br />__ Feederover600volts ......................................................................... @ $ 80,00 <br /> MISCELLANEOUS <br />__ A Each trailer or mobile home space ($ervi~e equipment) ............................ @ $ 20,00 <br />__ B Eechsupplyformobilehome(Conneetion) ............................ @$ 20,00 <br />__ C, Each irrigation pump (Attach a map~howing location) ............... @ $ 2000 <br />__ D,, Each electric sign or outline lighting @ $ 2000 <br />__ E,, Each residential swimming pool @ $ 20,00 <br /> BRANCH ClRCUIT~ <br />__ Onenewcimuit;elterationorextension @$ 16,00 <br />__ Two or more new circuits; alteretlone or extensions @ $ ~0,00 <br />__ Other (as per NEC and Building Official) <br />__ On-Site Techntcel Review (apply directly at Madon County only) .... <br />__ Industrial Plant Inspection (apply d~rectly at Marlon Counfy only) <br />__ Relnspection Fee ......... <br /> FEE <br /> STATE SURCHARGE <br /> <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> INVESTIGATION FEE <br /> with the indicated fee. FLEET SURCHARGE ...~, <br /> <br />i agree ta make the electrical installation aCcO aubmitted pi nd s ~ons. the laws of the State of O~egon and tl~e Ordinances of Marion County <br /> <br />[] HOMEOWNERS - I hereby certify that I am the owner of the preperty described above, at which location I prc~.e to makve, an electrical installation for <br /> my own use and this preperty is not being constructed for sale, lease or rent, <br /> <br />$IGNATUR~ OF APPLICANT' <br /> <br />MC 15-34 (Owner deing his ~wn werk) <br />Rev 3/67 <br /> <br /> <br />