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I ~e~elved By'. <br /> <br />Date: <br /> <br /> MARION COUNTY BUILDING INSPECTION <br />..... ~enetor Bldg. No. 225 <br /> 2~) High Street NE <br /> Salem; Or, Ion 97301 <br /> Phone .38~-5147 <br /> Code-A-pIIone 4:.30 P.M. - 8!00 A.M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />~ectric~o~a~gr~No~ ' ~ ' Home ilder~R ' r ' aNs.: <br />S~pervising x ~ Use of <br />EIectricia~ No:lTd ~ Relo~ation <br /> ..... ~uiIding:~>~ New ~ Addition <br /> , Aiterati~ ~ Occupancy <br /> <br /> No. RESIDENTIAL <br /> __ Residencewiringlessthan 1000sq. ft ........................ i ........ d_e $ 30.00 <br /> Rssideacewiringlessthan2000sq. ft ................................ . @$ 50.00 <br /> __ Residence wiring over 2000 sq. ft .................................... @ $ 70;00 <br /> Electric heat installation in existing residence ........................... e $ 20.00 <br /> SERVICES <br /> ~ TemporeryConstructlon Service ................................... ;, @_ $ 20.00 <br /> __ Service change only in an existing residence ........................... @ $ 20.00 <br /> Comr~uM'elal Or Ir~duetrlsl: <br /> Service not over l00 amp~res ....................................... @ $ 30.00 <br />~ Service over 100 amperes but not more than 300 amperes..; ..... : ........ @ $ $0.00 <br />.... Serviceoverg00amperesbutnotmerethan400amperas, ................ @$ 70.00 <br />-- Serviceover400amperesbutnotmorethan600amperes ................. @ $ 100.00 <br />__~ Serviceover600ampems ......................................... @ $ 130.00 <br />__ Service over 600 volts ........... .................................. @ $ 300.00 <br /> COMMERCIAL AND INDUSTRIAL FEECERS <br /> Installation of Alterations or Relocation of Distribution Feeder~: <br />__ Notmorethsnl00amperes ........................................ @$ 20100 <br />~ Overl00amperesbutcetmorethan200ampsres ....................... @$ 30.00 <br />__ Over200smperesbutnotmomthan400ampems ....................... @$ 50,00 <br />__ Over400amperes ...................................... . ........ @$ 80.00 <br />__ Feedarover600volts ............................................. @ $ 80.00 <br /> MISCELLANEOUS <br />__ A. Eachtrailarormobiiahomeape. ce($ewIceequipment) .................. @$ ~0.00 <br />__ B, Each supply for mobile home (Conneetion) ~ .......................... @ $ 20,00 <br />__ C, Each Irrigation pump (Attach amap Showing location) ..................... @ $ 20,00 <br /> D. Each electric sign or outline lighting ......... ....................... @ $ 20,00 <br />___ E. Each residential swimming pool .', ................................ @ $ 20,00 <br /> BRANCH CIRCUITS <br />__ One new circuit; alteration or extension ............................... @ $ 15,00 <br />__ Two or more new circuits; alterations or extensions ....................... @ $ 20,00 <br />~ Other (as per NEC and Suilding offiaiaI) ......................................... <br />__ On-Site Technical Review (apply directly at Marion County only) ...... <br />-- Industrial Plant Inspec'tlon (apply directly st Marion County only) ...................... <br />__ Relnspec~ion Fee .......................................................... <br /> <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> INVESTIGATION FEE <br /> with the indicated fee, FLEET SURCHARGE <br /> TOTAL , $ .'~'- .~-~.Z' <br /> <br />~ HOME~NERS - I hereby ce~ that I am the owner of the prope~ described a~ve, at which t~ation I propose to ma~ an electrical installation for <br /> my own u~e and this pmper~ i~ot being constre~ed for sale, lease or rent. <br /> <br />SIGNATURE OF APPLICANT: <br />MC 15-34 [~ner dolng his ow~ work) <br />Re~ 3/87 <br /> <br /> <br />