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rMARION C, DU NT~Y BUILDING INSPECTION <br />~enator Bldg. No, 225 <br />220 High Street NE <br /> Salem; Oregon 97301 <br /> <br /> Code~A-Phone 4:30 RM,, - 8;00 A.M, <br /> <br />...... Z~ELE(~;r~IC'AL PERMIT APPLICATION <br /> <br /> Phone:: Mailing Address, <br />Supervising ~a~ Okone;: Add'ss:: "' <br /> <br />Electrical Contractors NO / ' ' Hom~ Builder~ Registration NO :: <br />Supervising ~/ I Useof ¢ ,' Residential Addition <br />Electrician's NO __ , Building,,,,,~ i__Commemial Relocation Change <br /> ~ I Alteration~ ~ <br /> <br /> NO. RESIDENTIAL <br /> Jb_ Residence wiring less than 1000 sq ft ............. @ $ 50.00 <br /> __ Residence wiring less than 2000 sq ft @ $ 7500 <br /> __ Residence wiring over 2000 sd ft (~? $ 10500 <br /> __ Electric heat installation in existing residence @ $ 30 oo <br /> SERVICES <br /> __ TemporaryConstructionService ................ @ $ 30,00 <br /> ~ Service changeonlyin an existing residence ............ ~ $ 30.00 <br /> Commercial or Industrial: <br /> ~ Service notover 100amperes ................. ~ $ 4500 <br /> ~ Service over 100 amperes but n~ mom than 200 amperes ...... ~ $ 70 00 <br /> ~ Serviceover200~mperesbutnotmomthan400amperes ...... ~ $ 100 00 <br /> ~ 8erv[ceover~0amperesbutnotmorethan600amperes ~$ 15000 <br /> ~ Serviceover600ampems ................... ~ $ 20000 <br /> ~ Serviceover600volts .......................... ~$ 450,00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution F~ders: <br /> .... Not more than 100 amperes ..................... ~$ 2500 <br /> ~ Over l00 amperes but not mom than 200 emperes ......... ~$ 4000 <br /> _~ Over 200 amperes but not more than 400 amperes ....... ~ $ 70,00 <br /> ~ Over400ampems ............... ~ $ 85,00 <br /> ~ ¢eederover600volts ................. ~$ 12000 <br /> MISCELLANEOUS <br /> ~ A Eachtrallerormobilehomesp~oe(Se~iceequipment) ......... ~$ 2500 <br /> ~ B. E~ch8upplyformobilehome(co,ne¢tion) .............. @$ 2500 <br /> C. Each irdgatio~ pu~p (Arch a map showing location) ~ $ 30,00 <br /> ~ D Eachele~r[csignoroutlinelighting .... ~$ 3000 ~ <br /> ~ E Each swlmming pool (bonding} ......... ~ $ 3000 <br /> BRANCH CIRCUIT8 <br /> ~ One new circuit;: alteration or extension ~ $ 2000 <br /> __ Two or more new circuits, alterations or extensions .... ~ $ 3000 <br /> __ Other (as per NEC end Building Official) <br /> __ On-Site Technical Review (apply directly a~ Madon County only) <br /> ..... Industrial P~ant Inspecflo~ (apply directly at Marion County only) ..... <br /> __ Relnspection Fee ................ ~ $ 20 00 <br /> FEE ~ ~, ~ O~- <br /> STATE SURCHARGE <br /> Please return COMPLETE APPLICATION P~N REVIEW FEE <br /> with the indicated fee. ~%%[~BA~RF~ ~ .~ <br /> <br />I agree to make the electrical installation acco~ing to the submi~ed plans and specifications= the laws of ~f Oregon and the O~inano;s of Marion County <br /> ¢o~ <br />SIGNATURE OF APPLICANT <br /> <br />6~ HOMEOWNERS - I hereby certify that I am the owner of the property described above, at which location I propose to make an electrical installation for <br /> my own use and this property is not P~c,~lstructed for <br /> <br />MC 15-34 <br />Rev 12/88 <br /> <br /> <br />