Laserfiche WebLink
R$cei=~ ~.'~ ~.~ Senat°r BIdg, No. 225 <br /> ~U~L0~NB INSBE~TI0~ ELECTRICAL PERMIT APPLICATION <br /> <br />Phone: <br /> <br />Site No.: <br />F'fib~e: -' <br />Phone: <br /> <br />Address: <br /> <br />Street: <br /> <br />AddrEss: <br /> <br />Home Builder~st~tion No.: <br /> NeW [] <br /> Alteration [] <br /> <br />Addition [] Occupancy <br />RelOCation [] Change [] <br /> <br /> No. RESIDENTIAL <br />__ Rssidencewiringlsssthan 1000sq, ft ................................. @ $ <br />__ RssidencewiringlessthanS000sq. ft.' ................................ @ $ <br />__ Residence wiring over 2000 sq. ft .................................... @ $ <br />__ Electric heat installation in existing residence ........................... @ $ <br /> SERVICES <br />__ Tempora~ Construction Service ' @ $ 20,00 <br />__ Service change only in an existing residence ........................... @ $ 20,00 <br />Commemlal or Indus*rlah <br />__ Service not over 100 amperes ................ ....................... @ $ 30.00 <br />~' Service over 100 amperes bet not more than 200 amperes ................. @ $ 50.00 <br />__ ServiceoverS00amperesbutnotmorethan400amperes ................. @$ 70.00 <br />__ SerVCeOVer400amperesbutnotmorethan600amperes ................. @ $ 100.00 <br />__ Se~,iceover60Oamperes ......................................... @ $ 160.00 <br />__ Service over 600 voJts ............................................. @ $ 300,00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Inatall~lon of Alterations or Relocation of Dlatrlbutlon Feeders: <br />__ Notmorethanl0Oamperes ........................................ @$ 20,00 <br /> Over 100 amperes but not more than 200 amperes.. ....... .............. @ $ .30.00 <br />__ Over200amperesbutnotmorethan400amperes ............ @ $ 50-00 <br />__ Over400amperes ............................................... @$ 60.00 <br />__ Feederover600volts ............................................. @$ 80.00 <br /> MISCELLANEOUS <br />__ A. Each tra er or mob e home space (Service equipment) .................. @ $ 20.00 <br />__ B. Eachsupplyformobilehome(Conne~flon) ........ .................. ; @$ ~'0.00 <br />__ C. Eaohlrrlgationpump(Attachem~pehowinglocatlon ~ ;:,; ;. ,, .::i.i .:.:, ~8 20.00: <br />__ D. Eachelectdosignoroutlinelighting ................................ @$ 20.00 <br />__ E. Each residential swimming pool .......... - ....................... @ $ ::'0.00 <br /> BRANCH ClRCUrrs <br />__ One new circuit; alteration or extension ............................... @ $ 15,oo <br />__ Two or more new cimuits; alterations or extensions ....................... @ $ 20,00 <br />__ Other (as per NEC and Building Official) ......................................... <br />__ On-Site Technical Revlew (apply dlractly at Marion County 0nly) ...................... <br />__ ndustr a P ant nspect on (apply directly at Marion County only) ..................... <br />__ Reinspacfion Fee .......................................................... <br /> FEE <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> INVESTIGATION FEE <br />with the indicated fee. FLEET SURCHARGE <br /> TOTAL <br /> <br />60.00 <br />50,00 <br />70.00 <br />20,00 <br /> <br /> i;:,~ <br /> <br /> agree o make the e e~ ca nsla la io~ac~¢o~iag to'the submitted plans a qd~'~'~'~'~'~'~'~'~i f it. et ion a ~ h e laws of the ~tate of Oregon and the O~inances of Marion County. <br /> <br />D HOMEOW...S-I he~ ce.,~ ,,., I a. the owner of the prop;~{e. Crigd ~;0~ ~t whi~; Iocetion I P~poce ~ ~a~ a. ei~tdca, ins~llstion for <br /> my own uce and this prope~ is not being ~nstrumed ~r sale. le~ or re~. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />MC 15-34 <br /> <br /> <br />