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ELECTRICAL PERMIT APPLICATION <br /> <br />MARION COUNTY BUILDING'INSPECTION <br />~enator 81dO. No. ~25 <br />220 High Street NE <br /> Salem. Oregon 9'/'301 <br /> <br />Owner~ ~'~"¢ ..... Pho~le: Address: <br />Berry Farrell <br />Sites Address: ' ~ite NO.'. Cross Street: <br />15043 NE Ottaway, Aurora (City) 2405 Liberty <br />Electrictal Firm: , Phone; Address: <br /> AMP Electric 591-5596 5471 SW 153rd, Beaverton 97007 <br />Supervising Electrician; ~hone: Address; <br />~oward Kuatala ~ '.' ' <br />Electrical ContractoCs No.; Home Builder ~J Registration No,: <br />34-161C 42788. <br />Supervising " , IJce of , - - New [] ' ' Addition [] Occupancy <br />Electric. inn's NO.: 3152S Building: Alteration [] Relocation [] Change [] <br /> <br /> No, RESIDENTIAL <br /> .. Residence wiring less,than 1000 sq. ft ................................ @$ 30,00 <br /> __ Residencewlrin§lessthan2000sq. ft ................................ ~$ 50.00 <br /> ., Residence widng over 2000 sc. ft ................................... ~$ 70.00 <br /> Electric heat installation in existing residence ......................... ~ $ 20,00 <br /> SERVICES <br /> .. Temporary Construction Service .................................... @ $ 20.00 <br /> ___ Service change only Jrt an existing residence .......................... @ $ 20.00 <br /> Commercial or Industrial: <br /> Service not OVer 100 amperes .............................. @ $ 30,00 <br /> $erviceoVerl00amperesbutnOtmorethan20Oamperee ...... iiiiiiiii,. @ $ 50.00 <br /> Service over 203 amperes Put not mere than 400 amperes .............. ; @ $ 70,00 <br /> __ Service over 4.00amperesbutnotmorethan60Oamperea ................. @ $ 100,00 <br /> $erviCeover60Oamperea ........................................ ,@ $ 130.00 <br /> Service over 600 volts ............................................. @$ 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 then 200 amperes ....................... ~ $ 30,00 <br /> Over 200 amperes cut net more than 400 amperes ....................... DS 50,00 <br /> Over40OamDeres ............................................... @ $ 60.00 <br /> Feederever60Ovolts ............................................. @ $ 80.00 <br /> MISCELLANEOUS <br /> A. Each trai~et or mobi~ hc4'~e space (Sm'vl~e equipment ............ ..... ~ $ 20.00 <br /> B. Each supply for mobile home (Conne~lJ~n) ......................... @ $ 20,00 <br /> C.. Each irrigat on.pu,mj~ Attacb~ map sll,o, wing IDeation) ................. , , @ $ 20,00 <br /> 'D Each elbotf c ~ ~h 5r'0~{lih~ IIg~t]h~'. '.., .' 77~ J,. :"; 7% :' ;'. ','-?:;'; .:;',,.; .' ;.. ~-$'"~'2500 ..... ........... <br /> E. Each reside~lal swimming pool ............................... @ $ 20.00 <br /> BRANCH ClRCUI')~ <br /> One new cimuit: alterr=itlee or extension ...... Add~ ................... @ $ 15,00 ~ 9 00 <br /> __ TWO or more new circuits: alterations 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 Inspection (apply directly at Marion County only) .... <br /> <br /> FEE <br /> STATE SURCHARGE ] 5, O0 <br /> Please return COMPLE' E APPLICATION PI. AH REVIEW FEE .7,~ <br /> with the indicated fee. , ~NVESTIGATION FEE <br /> · , ~ .P~.EET SURCHARGE 7.6R <br /> '¢~.~ . ~ //' - ~ // TOTAL $,. 2-3 Aq <br /> <br /> ' · . I/. _ , <br /> <br />[] HOMEOWNERS - I h ~¢~-~;~ certify that I em the~w~re¢of the property d e~%Tibed abo~,e, et which location I propose to make an electrical installation fo~ <br /> my own use and this prope~f/y is not being constru~ed for sale. lease or rent. <br /> <br />~IGNATURE OF APPLICANT.. · <br /> <br />Rev. 3/87 <br /> <br /> <br />