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Receiv¢-dBy ~i~ /'~ , <br />Date <br /> <br /> II;MA~ION COUNTY BiJILDING INSPECTION <br />~z~ t i ~~ ~ 8erletorB dg NO 225 <br />~i~'~?'' ~0 High Street NE <br />· '~ Salem. Oregon97301 <br /> Phone 588-5147 <br /> <br />Code-A-Phone 4;30 P,M. - 8::00 A.M,, <br /> <br />:~PLICATION <br /> <br /> , Contractor~ No ¢.~/_~~ \~._ Home Builder's Regia,ratlen No~,~' q / <br />Supervising Useof I Residential I~ ] New ,¢;]--'~'-~ Addition ~ <br />Electrician's NO Building:: Commercial [] Alteration [] Relocation [] <br /> <br />Ocecpancy <br />Change <br /> <br /> N,t~f' RESIDENTIAL <br /> Residence wiring less than 1000 sq ft @ $ 5000 <br />___ Residencewiringless than 2000 aq ft ~ $ '7500 <br />__ Residence wiring aver 2000 sq ft C~ $ 10500 <br />..... Electric heat installation in ex~sting residence (-{/' $ 3000 <br /> SERVICES <br />__ Temporary Construction Service ...... (~'$ 3000 <br />__ Service change only in an existing residence ga $ 30 00 <br />Commercial or Industrial: <br />__ Servicenotoverlg0amperes (~)$ 4500 <br />...... Service over 100 amperes but not more than 200 amperes @$ 7000 <br />.... Service over 200 amperes but not more than 400 amperes @IS 100.00 <br />__ Serviceover400ampereabutnotmorethanC00amperes @$ 15000 <br />Service over 600 amperes ~, $ 200.00 <br />__ Serviceover6g0volts C¢) $ 450..00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relocation of DIstributio. Feeders; <br />Not more than 100 amperes ....... ~:, $ 25 00 __ <br />__ Over l00 amperes but aot mere than 200 amperes @$ 4000 <br />__ Over200amperesbutnotmorethan4,00amperes ¢~$ 7000 <br />__ Over400amperes ~:, $ 8500 <br />.__ FeederoverC00valts (_~$ 12000 <br /> MISCELLANEOUB <br />__ A Eachtrailerormobilehomespace(Serviceequipmenti (a~$ 2500 <br />__ B Each supply for mobile home (Connection) ~i: 5 25 00 <br />C EachiragaPonpump~Attacharnapsi~owlnglecat~on) ¢_~$ 3000 <br /> D Each electric sign or outline lighting (',~ $ 30 00 <br />__ E Eachswimmingpool(bonding) ¢_h$ 8000 <br /> BRANCH CIRCUIT8 <br />One new circuit alteration or extension (~' $ 2000 __ <br />.............. Two or more new circuits, alterations or extensions (?¢ $ 30 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 />Reinspection Fee (d $ 20 00 <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 /> HOMEOWNERS -- I hereby certify that ~ am the owner of the property described above, at which Iocatioe I propose to make an electrical installation for <br /> my own uae and this property is not being constructed for aais. lease or rent <br /> <br />S~SNATURE OF APPLICANT _..~ ~- <br /> <br /> <br />