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Race ved By <br />Date; <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator Bldg. NO. 225 <br /> ~ High Street NE <br /> <br /> Phone ~588-5147 <br /> Code-A-phone 4:,30 RM, - <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Owner: Phone; Address; <br /> / w Ylw <br />Situs Address: Site No.: Cmos Street; <br />~ical Fir~: r / Phone: Address: <br /> ' , <br />~.__ New D Addition ~ Occupan~ <br />Supervising~ Uce of Alteration ~ Relocation ~ Change <br />ElectrJclen~ No ~ ~ Building: <br /> <br /> NO, RESIDENTIAL <br /> Residence wiring less than 1000 sq. ft ................................ @ $ 30.00 <br /> Residence wiring less than 2000 sc. ft ................................. @ $ 50,00 <br /> Residence wiring over 2000 se. fi .................................... ~$ 70.00 <br /> Electric heat installatioc in exietin§ residence ........... ................ @ $ 20,00 <br /> SERVICES <br /> Temporary Construction Service .......... ,, ~ <br /> t' Servicechangeonlyinanexlstngresidence .~.~/.~,,~,.i~i,~'~,'~,'~'i~*i~','iiiii'~$$20.0020'00 <br /> Commercial or Induotrleh <br /> Service not over 100 amperes ....................................... @ $ 30.00 <br />__ Servicoovorl00ampereebutnotmorethan200amperes ................. @$ $0.00 <br /> Service over 200 amperes but not mom than 400 amperes ................ @ $ 70.00 <br />__ Servicoovor400ameercebutnotmorethanT00amporee ................ @$ 100.00 <br />__ ServiceoverT00amperes ........................................ @ $ 130.00 <br /> Service over 600 volts .......................................... @ $ 300.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Inetallotlon of Alterations or Relor.~tloil of Diatribution Feeders: <br />__ Notmerethenl00ampore$ ...................................... ~$ 20.00 <br /> Over 100 amperes but not mom than 200 amperes ....................... @$ $0,00 <br /> Over 200 amperes but not more than 400 amperes ...................... ~ $ 50,00 <br /> Over 400 amperes ............................................... @ $ 00.00 <br /> Feeder over 600 volts ............................................. @ $ 80.00 <br /> MISCELLANEOUS <br /> A Eachrrellarormobilahomespace(servlceequipmenl) ................... ~$ 20.00 <br /> B Each supply Ior mobile home (C0nne~tiol~) ........................... @ $ ~'0.00 <br /> C, EachJrrigetlongump(Attacharnapshowinglocat~on) ..................... @$ 20.00 <br /> D, Each electric sign or outline lighting ................................ @ $ 20.00 <br /> E Each residential swimming pOol .................................. @ $ 20.00 <br /> BRANCH ClRCUI'I'~ <br /> One new circuit; alieretioc or extension ............................... @$ 15.00 <br /> Two or more new circuits; alterations or extensiocs ....................... @$ 20.00 <br /> Other (ac 13er NEC and Building Official) ......................................... <br /> On-Bite Technical Review [apply directly at Madon County only) ..................... <br /> Industrial Plant Inspection (apply directly at Marion County only) ..................... <br /> Reinspection Fee ....................................................... [~1~E <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION PLAN REVIEW FEE <br />with the indicated fee~ INVESTIGATION FEE <br /> FLEET SURCHARGE <br /> TOTAL <br /> <br />regreetomal~etneeleCtrie;~iinstailat~c~l!tothesubmeedpansandspee catons, he swsoftheSteteofOegonandtheO~dlnancesofMafionCounty. <br />SIGNATURE OF APPLICANT:..---- '~,/,//~'*~'~ ~ ~ <br /> C ISuDervlslrtg Electrician) <br />[] HOMEOWNERS - I he ertify that I am the owner cf the property described above, at which location I ;)repose to make en electrical installation for <br /> my own use and this ~mporty is not being constructed for sale. ease or rant. ~' <br /> <br />~;IGNATURE ~F APPLICANT: <br />MC 15-,34 v~ IOwner ~olng his own w01k) <br />Rev. ,3/87 <br /> <br /> <br />