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Received By: <br />Date: <br /> <br />MARION C~UNT~ BUILDING INSPECTION <br />Senator BI~II[I, No. ~5 <br />220 High Street NE <br /> <br /> Cod~-A-Phone 4:30 RM,- 8:00 A,M, <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Situs Address: Site No.: Cross Street: <br />Electrical Firm: Phon~: '" Add'ess: ........ <br />SuperviSing Electrician; P~)ne: Address: .... <br /> <br />Elemrical Contractor% NO,: Home Builder's Registration Nc,: <br />Supervising ................. Use of .......... New [] Additi~'n [] Occupancy <br />Electrician's NO.: Building: Alteration [] Relocation [] Change [] <br /> <br /> NO. RESIDENTIAL <br /> Residence wiring less than 1000 ~q. ft ................................. C~$ ~0,00 <br /> Residence wiring less than 2000 sq. ft ................................. @ $ 80.00 <br /> Residence wiring over 2000 sq. ft .................................... @ $ 70,00 <br /> . _, Electric heat Installation in existing residence ........................... @ $ 20,00 <br /> SERVICES <br /> Temporary Construction Service ..................................... @$ 20.00 <br /> Service change only it) an a×Jsting residence ........................... @ $ 20.00 <br /> Commercial or Induetriat: <br /> Service not over 100 amperes ....................................... @ $ 30.00 <br /> ~ Service over 100 amperes but not more than 200 amperes ................. @ $ 50.00 <br /> Service over 200 amperes but not more than 400 amperes ................. @ $ 70.00 <br /> Service over 400 amoeres but nat more than 600 ampen~s ................ @$ 100,00 <br /> Service over 600 amperes ........................................ @$ 130.00 <br /> Servlceover 600volts ............................................. @ $ 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 Put ncr more than 200 amperes ....................... @$ 30,00 <br /> Over 200 amperes but not more than 400 amperes ....................... @$ 50.00 <br /> Over 400 amperes .............................................. @ $ 60.00 <br /> Feeder over 600 volts ............................................ @$ 80.00 <br /> MISCELLANEOUS <br /> A, Each trailer or mobile home space (Ser4ce equipment) ................. ~ $ 20.00 <br /> __ a, Eachaopplyformobilehome(Conne~tion; .......................... 95 20.00 <br /> __ C, Each irrigation pump (Attach e map showing location) ..................... @ $ g0,00 <br /> __ D, Eachelectricsignoroutlinelighting ................................ @$ 20.00 <br /> E. Each residential swimming peel ................................. ~ $ 20.00 <br /> BRANCH CIRCUITS <br /> One new circult; alteration or extension .............................. @$ 15,00 <br /> Two or more new circuits: alterations or extensions ....................... @ $ 20.00 <br /> Other (as per NEC and Building OfficJali ........................................ <br /> On-Site Technical Review (apply directly at Marion County onty) ...................... <br /> Industrial Plant Inspection (apply directly at Marion County only) ...................... <br /> Reinspection Fee ......................................... <br /> FEE <br /> -'~ ..5-'~'~ STATE SURCHARGE <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> with the indicated fee, INVESTIGATION FEE <br /> FLEET SURCHARGE <br /> TOTAl. <br />I agree to make the ele~thcal installation according to tl~e susmiffed plans and 8pacifications the laws of the State of Oregon al~d the ~rdlnances of Marion County. <br />SIGNATURE OF ApplICANT:. <br /> <br />[] HOMEOWNERS - I hereby cert~that I am the owner of the pro~oerty described above, at which location I <br /> my own use and this proper~yy.//~/././.be~,~ed~ent,~ J/.~g~ propose to make an electdcal installation for <br /> <br /> <br />