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SE? 2 9 987 <br /> <br />MARION COUNTY <br />BUILDING INSPECTION <br /> <br />COUNTY BLHLDtN~ INSPECTION <br /> Senator Sld~l. <br /> 220 High street NE <br /> Salem, Oregon 9~01 <br /> <br /> Phone ~5147 <br /> C~A-Phone 4=30 RM. - 8:00 A.M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />: Phone: Address: <br />d Cross Street: ..... <br /> <br />Ele~rical Contrac~r~No / ...... ,. Home Builder~ Registration No,~: ~ <br />Supervising Use of New ~ Addition ~ O~upan~ <br />Electrician~ NO,: / ~ ~ ~Building: Al~ration ~ Relocation ~ Change <br /> <br /> No, RESIDENTIAL <br /> Residence wiring less than 1000 sd. ft ............................... @$ 30.00 <br /> Residence wiring less than 2000 sq. ff ................................. @$ 50.00 <br /> Residencewlrlngover2000sc. ft .................................... @ $ 70.00 <br /> Electric heat installation in existing residence ....................... @ $ 20.00 <br /> SERVICES <br /> Temporary Construction Service ..................................... @ $ 20.00 <br />~ Service change on;y in an existing residence ........................... @ $ 20.00 <br /> Commercial or industrial: <br /> Servicenot over 100amperes ....................................... @$ 30.00 <br /> Service over 100 amperes but not more than 200 amperes ................. @ $ 50,00 <br /> Service over 200 amperes but not more than 400 amperes ............... @ $ 70.00 <br /> Service over 400 amperes but not more thac 600 amperes ................ (.~$ lOO.OO <br /> Service over $00 ameerac ....................................... @ $ 1:~0,00 <br /> Servlceover 600 velts ............................................. @ $ 300,00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br /> Not more than 100 amperes ........................................ @ $ 20.00 <br /> Over 100 amperes but not more than 200 amperes ....................... @ $ 30~00 <br /> Over 200 amperes but not more than 400 amperes ....................... @ $ 50,00 <br /> Over 400 amperes ............................................... @ $ 60,00 <br />__ Feederover600volts ............................................ @$ 80.00 <br /> MISCELLANEOUS <br />._ A, Eachtraileror mobile home space ~$ervl~eequlpment) ................ @ $ 20.00 <br />__ B, Each supply for mobite home {Connectlon~ ........................ @ $ 20,00 <br /> C. Eachirrig.a~ip._n.p~.rJ]p(Attaellamapshowingl0cation~ ................... @.$ 20,00 <br /> D, Each electric sign or outline lighting ............................... ~__ $ 20,00 <br /> E. Each residential swimming pool .................................. @ $ 20,00 <br /> BRANCH CIRCUITS <br />__ One new cimuit: alteration or extension .............................. @ $ 15.00 <br /> ~' Two or more new circuits: alteregens or extensions ....................... @ $ 20.00 <br />__ Other (as Der NEC and Building Official) ......................................... <br /> On-Site Technical Review (apply directly at Marion County only) ...................... <br /> Industrial Plant Ins0ecgon (apply directly at Marion County only) ...................... <br /> Reinspaction Fee .......................................................... <br /> FEE <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION PLAN REVIEW FEE <br />with the indicated fee, INVESTIGATION FEE <br /> =LEET SURCHARGE <br /> TOTAL <br /> <br /> agree m make the eleprigal installation according to/~e submlttae plans ~ specifications, the laws of tile State of Oregon and the O~inanCeS 0f Marion Count. <br /> <br /> ~ ~ ~ ~ ~lng~elan) <br />~ HOMEOWNERS - I here~ ~i~ that I am the owner of the pmper~ described above, at which location I propose to ma~ an electrical installation ~r <br /> my own use and this p~pe~ is not being ~nstrumed for sale, lease ct mot, <br /> <br />SIGNATURE OF APPLICANT: ~ <br /> <br />Rev, s/87 <br /> <br /> <br />