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Beceived By <br />Date:: <br /> <br />MARION COUNTY BUILDING INSPECTION <br />0enator Bids,, No, 225 <br />220 High ~reet NE <br />~alem= Oregon 97301 <br /> <br />~(~<:~Z) ~o ~'~'J~¢7/(¢ ELECTRICAL PERMIT APPLICATION <br /> <br />Owner i ....... Phone:: Address, '" <br />Situs Address ( Sit~ No, Cres,~.~reei " <br />Electrioal Firm; ' Phone;; AddreSs:: <br />~uasou~ s [~c. 363-41~1 ~~ <br />Sup~ising Electrician ' ~hone;; Address;; <br />Don Kuhl 8~ ~m~ ....... <br />Bect~cal C~n~or~ No:: ~ome Buiidet~ Registration No :: <br /> <br /> .... 24-12C 3~6,04 ...... <br />Supervising Useof New ~ Addifio~ ~ O~upa~cy <br />E~rician~ NO,' 1369-S Bui~ing, Alteration ~ Rel~ation ~ Chan~ ~ <br /> <br /> NO. RESIDENTIAL <br />__ Residencewlring lessthen 1000 sq fl ......................... @ $ 3000 <br />__ Residence wirieg less than 2000 sq ft .................. L~. $ 50.00 <br />Residence widng over 2000 sq. ft ............................. @ $ 70.00 <br />__ Elec~richeatinstallationJne×JetingresJdecee ........ @$ 2000 <br /> SERVICES <br />__ Temporary Construction Service ........................... ~_} $ 20 00 <br /> ? Service change only in an existing residence ............ @ $ 20.00 <br /> Commercial or Illdustrlah <br />__ Service not over 100 amperes ....................... @ $ 3000 <br />__ Service over 100 amperes but not more than 200 amperes .............. @ $ 50.00 <br />~ ~erviceover2OOamperesbutnotmorethan4OOamperes .......... @$ 7000 <br />__ Serviceover400amperesbutcetmorethan600amperes ........ @ $ 100.00 <br />. Serviceover60gamperes @ $ 13000 <br />__ Service over 600 volts @ $ 300 00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />leetellatlon of Alterations or Relocation of Distribution Feeders: <br />Not morethan 100 amperes .................................. @ $ 2000 <br />__ Ovv~r lOO amperes but not more than 2OO amperes ............. @ $ 3000 <br />__ Over 200 amperes but not more than 400 amperes ............... @ $ 50.00 <br />__ Over400amperes .............................. @$ 6000 <br />-- ISeederover600volts ............................ {~_$ 8000 <br /> MISCELLANEOUS <br />__ A Eachtrailerornqobilehomeepace(Serviceequipment) .............. @$ 2000 <br /> B. Each supply for mobile home (Connection) .............. @? $ 20 00 <br />-- C EachirrigeUonpump(Atlachamepshowingfocation) ............. @$ 2000 <br />__ D EacheleCdcsigeoroutlinelighting C-~_$ 2000 __ <br />E, Each residential swimming pool @ $ 20,,00 <br /> BRANCH CIRCUITS <br />__ OnenewCircuit;alterationorextension ................... @$ 1600 <br />~ Tweormorenewcircults;elteretionsorexteneions .......... @$ 20.00 <br />__ Other (as per NEC and Building Offletal) <br />On-Site Technical Review (apply directly at Marion County only) <br />__ Industrial Plant Inspection (apply directly at Marion County only) <br />Retnspection Fee <br /> FEE <br /> STATE SURCHARGE <br /> <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> with the indicated fee. INVESTIGATION FEE <br /> FLEET SURCHARGE ' ,J', ~¢y <br /> TOTAL $ ..~,.? ,~'/. ~ ~ <br /> <br />HOMEOWNERS - I hereby certify that I am the owner of the proper~ described above: at which Iocat on propose to make an electr)oa nsta etlon for <br /> <br />$~GNATURE OF APPLICANT <br /> <br />MC 15-34 tOwner ~olng hl~ own wOrk) <br />Rev 3/87 <br /> <br /> <br />