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MARION COUNTY BUILDING INSPECTION <br /> <br /> Salem, Oregon 97301 <br /> <br />5U LDIi' G iN PECTK N ELECTRICAL PERMIT APPLICATION <br /> <br />Owner: Phone: Address: <br /> Daniel. Summers 749-1359 <br />· '~itus Address: Site No.: Cross Street:' <br /> 860 - 7th Street, Aumsville 2752 <br /> Electri~i'[~;irm: Phone 'Address: " <br /> <br /> Supervising Electri~i;;r~: ' Phon~: Address: <br /> <br /> Eleotrical Contractor's NO.: Home Builder's Registration No.: <br /> Supervising Uae of New [] Addition [] Occupancy <br /> Electriclan~J No.: Building; Ateret on r~ Relocation [] Change [] <br /> <br />No, <br /> <br /> RESIDENTIAL <br /> Residence wiring less than 1000 sq. ft; ................................ @ $ <br /> Residence wiring less than 2000 so. ff ................................. @ $ <br /> Residence wiring over 2000 so, ft .................................... @ $ <br /> Electric heat installation In existing residence ..................... @$ <br /> SERVICES <br /> Temporery Construction Service ..................................... @ $ <br /> Service change only in an existing residence ......................... @ $ <br /> Commemlel or Induatrlal; <br /> Service not over 100 amperes ....................................... @ $ <br /> Service over 100 amperes but not more than 200 ahlperes ................. @ $ <br /> Sea, ice over 200 amoeres but not more then 400 amperes ................. @ $ <br /> Service over 4oo amperes but not more then 600 amperes ................. @ $ 100.00 <br />-- Serviceover6OOamperea ......................................... @ 5 180.00 <br /> Service over 60O volts ............................................. @ $ 300.00 <br /> COMMERCIAL AND INDUS,'RIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feederet <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 amcetes ............................................... @$ 60.00 <br />__ Feeder over 600 volts ............................................ @ $ 80.00 <br /> MISCELLANEOUS <br /> A Eachtrailerormobilehomespace($erviceequipment) ................. @$ 20.00 <br /> B. Eachsupplyformobilehome(Conne~tion) .......................... ~$ 20.00 <br /> C, Eachlrrigatlonpump~A~hamaDshowlng~o~atlon) ..................... @$ 20,00 <br /> D. Eecheleotricsignoroutlinelighting ............................... @$ 20,00 <br /> E. Bach residential swimming pool .................................. @ $ 20.00 <br /> BRANCH ClRCUI'F~ <br /> One new circuit; alteration or extension ............................... @$ 15,00 <br /> Two or more new cimuits: alterebons or extensions ....................... @$ 20.00 <br /> Other [as per NEC and Building Official) ......................................... .- <br /> On-Site Technical Review (apply directly at Marion County only) ...................... <br /> Industrial Plant Inspect[on (apply directly at Marion County only) ...................... <br /> Relnspecfion Fee .............................................. <br /> <br /> STATE SURCHARGE <br /> <br />15.00 <br /> <br />£5.0O <br /> .75 <br /> <br />30.00 <br />50.00 <br />70,00 <br />20,00 ..... <br /> <br />20,00 <br />20.00 <br /> <br />30.00 <br />50.00 <br />70~00 <br /> <br /> Please return COMPLETE APPLICATION PLAN F~EVIEW FEE <br /> with the indicated fee. INVESTIGATION FEE <br /> FLEET SURCHARGE ~, ~ 4 <br /> TOTAL $ 19..~ <br /> <br />I agree to mal(e the elec't rl~al installation aC~ommg to the ~ubm~ed ~lan$ and sceolfloations, the laws of the Stare of Oregon anti the O~inan~es of Marion County <br />SIGNATURE OF APPLICANT.. <br /> <br /> MEOWNERS - I hereby certify t~at I am tll~wDer)of~the-~operty described above, at which Iocabon I propose to make an,electrical installation for <br /> my own use and this proper~ being co.~t ~e~t4o r~ale, ,e'ase or rent. <br /> <br /> <br />