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Situs Address: Site NO,: Cross Street: <br /> <br /> Electrical Firm: ~'~ ~ ~ ~- Phone: 'Address <br /> <br /> S q~,ejt'~isi~E~ofricJan: Phone: <br /> <br />Eie~i~ C~. ,~o-: ., Home builder~ Registration ~.: ' <br />...... ... <br />Supervising ~'~ ~"~ ~ O~upan~ <br />Building: Aimration <br /> <br /> No. RESIDENTIAL <br /> Residence wiring less tben 1000 sq. ft ................................. ~$ 30.00 <br /> Residence wlrin~ less than 2000 sq, ft ................................. @$ 50,00 <br /> Residence wiring over 2000 ~q ft ................................... @$ 70.00 <br /> __ EleCtricheatinsta~tationinexlstlngresldence .......................... @$ 20,00 <br /> SERVICES <br /> Temporary Conctruction Service ............................ @ 8 20,00 <br /> Service change only ;I an existing residence ............ ::::::::: .... @ $ 20.00 <br /> Commercial or Industrial: <br /> __ Service not over 100 amperes ....................................... @ $ 30,00 <br /> Service over 100 emeeres but not more than 200 amperes ................. @ $ 50.00 <br /> Service over 200 amperes but not mom than 400 amperes ...... @ $ 70.00 <br /> Service over 400 amperes but not more than 600 amperes ...... "i i i i'i i i i i @ $ 100,00 <br /> -- ServIceover6OOamperes ......................................... @$ 130.00 <br /> Serviceover 600velts .......................................... .., @ $ 300,00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br /> Notmoretbenl00amperes ............. .- ~ ......................... @$ 20,00 <br /> Over 100 amperes cut not mere than 2~)0 aml3eres ....................... @ $ 30.00 <br /> Over 200 amperes but not more than 400 amperes ....................... @ $ 50.00 <br /> Over 400 amperes <br /> Feeder over 600 velt~ .............................................. @ $ 60.00 <br /> ............................................. @ $ 80,00 <br /> MISCELLANEOUS <br /> A EaCh trailer or mobile home space (Service equ proem .................. @ $ ' 20.00 <br /> B, Each supp y for mob e home (Connection) ........................... @ $ 20 00 <br /> · C. Each irrigation pump (Attach a map Showing location) ~,.,. ,; ............... ,., ~,'$ 20,00 <br /> D. EachelectrJcsignorSut ne ghtng ...- .' .:., .:', ;~ ;-. ............. ~$ 20,00 <br /> E. Each residential swimming pool .................................. @ $ 20,00 <br /> BRANCH CIRCUITS <br /> One cew cireuit; alteration or extension ............................... @$ 15.00 <br /> :~ Twoormorenewcimuits ataratonsorexteneions ....................... @ $ 20.00 ~,-~' ~ <br /> -- Other las per NEC end Building Official) ......................................... - <br /> On-Site Technical Review (apply direCtly at Marion County only) ...................... <br /> Industrial Plant InspeCtion (apply direCtly at Marion County only) ...................... <br /> __ Reinspection Fee ..................... :- ................................... <br /> <br /> FEE <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 />] agree to make the elec-t ri~al installation acceding to the submlaed clans ~nd ~pe~lflcatlons, the laws of the State of OregOn and the Ordinances of Marion County. <br />SIGNATURE OF APPLICANT: <br /> <br />[:~-"~MEOWNERS - I hereby certify that I am the owner of the preperty described above, at which location I ~repose to maJ<e an eleCtrical installation for <br /> my own use and this prep~rb/is n~belno, construCted forusele, lease or rem <br /> <br /> <br />