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Received By:, <br /> <br />Date: ,.. <br /> <br />MARION COUN'I'~ BUILDING INSPECTION <br /> <br /> ~ , ~2~HIgh 6'troat NE <br /> Selem, O~on ~1 <br /> <br />ELECTRICAL pERMiT APPLICATION <br /> <br />Owner: Phone; AddresS: <br /> <br />Situs Address; Site NO.; Cress Street; <br />Electrical Firm: Phone: Address; <br />Supervising Electrician: Phone'. Address: <br /> <br />Electrical Contractor's NO,: Home Builder~ Registration No.: <br />Supervising Use of New ~ Addition [] Occupancy <br />Electrician's NO,', Building; Alteration [] Relocation [] Change <br /> <br /> No. RESIDENTIAL <br /> Residence wiring less than 1000 sq. ft ................................. @$ 30,00 <br /> Resldence wiring lass than 2000 sq. ft ................................. @$ 50.00 <br /> Residence wiring over 2000 sq. ft ................................... @ $ 70.00 <br />__ Electr[cheatinstallationinexlstingresidence ......................... @$ 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 /> Service not over 100 amperes ...................................... ~ $ 30.00 <br /> Service over 100 amperes but not more then 200 amperes ................. (~ $ 50.00 <br /> Service over 200 amperes out not more then 400 amperes ............... @ $ 70.00 <br /> Servlceover¢00amperesbutnot more than 60(~ amperes ................. @ $ lO0.00 <br /> Service over 600 amperes ......................................... @ $ 130,oo <br />__ Serviceover600volts ............................................. @ $ 300.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation ~f Alterations or Relocation of Distribution Feeders: <br /> Not more than 100 amperes ........................................ @ $ 20.00 <br /> Over 100 amperes but not mom than 200 amperes ....................... @$ 30.00 <br /> ... Over 200 amperes but not more than 400 e, moeres ....................... @ $ 50,00 <br /> Over 400 amoeres .............................................. @$ 60.00 <br /> Feeder over 600 volts ............................................. @ $ 80.00 <br /> MIBCELLANEOUS <br /> / A, EachtrellerormobilehomesDace(serviceeou~umentl .................. @$ 20.00 <br /> ./ B, Each supply for mobile home (Connection) ........................... @ $ 20.00 <br /> C. Bach irrigation pump (Agacha map showing Iocatior ..................... @ $ 20.00 <br /> D. Eechste~ricsignoroutllnelighting ................................ @ $ 20.00 <br /> E, Each residential swimming pool .................................. @ $ 20,00 <br /> BRANCH CIRCUITS <br />__ One new circuit: alteration or e×tens~on ............................... @ $ 15.00 <br /> <br /> Twoorrnorenewclreaits:alterationsorextensJone ....................... ~.$ 20.00 <br /> ~her (~s par NE~ and Buitding ~icial~ ......................................... <br /> On-Sito Tochnicel R~iew (apply ~l~iy at Marion Coun~ only) ...................... <br /> Industrial Plant Inspection (apply di~ly ~t Marion Coun~ onty) ...................... <br /> __ Reinspemlon Fee .......................................................... ,~ <br /> FEE <br /> / STATE SURCHARGE ~,~ <br /> Please ~turn COMPLETE APPLICATION P~N ~WEW FEE <br /> ~NV~ST~GATION FE~ <br /> with the indicated fee. FLEETSURCHARGE ~~"~ ,, <br /> ~AL $ ~ <br />I agree to make the ele~ncal in~ll~on a~~n~ a~ ~eclfi~ations, t~e laws of the ~e of Oregon and the Ordinances of Marion County, ~ <br /> <br />~ HOMEOWNER~ - I h~mDy ~Ai~ that I ~m the owner of the pm~e~ describ~ above, at which Iocatloc I propose to ma~ an el~dcel in~tellation~r <br /> my own u~e and this pmper~ i~ not being con~tru~ed for sale, le~ or rent, ~ '~' <br /> <br /> <br />