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Received By ...... <br /> <br />Date <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator Bldg, NO. 225 <br /> 220 High Street NE <br /> Salem, Oregon 97301 <br /> <br /> Phone 588-5147 <br /> Code-A-Phone 4;;30 RM. - 8::00 A,M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Phone:: <br /> <br />Site No :: <br /> <br />Phone <br /> <br />OUrv 1 ? <br />nV ?E¢ /O/v <br /> <br />Supervising /' ~.~_~..__%¢-,~ Uae of <br />E~sctnciems NO,1 ~ Building <br /> <br /> Home Builder's Registration No, <br /> <br />Reeidential [] New [] <br />Commercial [] Alteration [] <br /> <br />Addition [] Occupancy <br />Relocation [] Change <br /> <br /> RESIDENTIAL <br /> Residence wiring ,ess than 1000 sq ft <br /> -- Residence wiring lees than Z000 sq ft ----..¢.-~.~- <br />__ Residence wiring over 2000 sq, ft <br /> $ <br /> 10500 <br />.... Electric heat inetallahon in existing residence (~$ 3000 <br /> SERVICES <br />__ Temporary Construction Service ¢/$ 3000 __ <br /> , , Service change only in an existing residence (-~' $ 30 g0 <br /> Commercial or Industrial: <br />Service not over 100 amperes ~) ~j~ ~,~, ~ 45.00 <br />/,~.._. Service over 100 amperes but not more than 200amperes ~ ~ ~ ,.-7.,,~ ~ 7000 <br />__ Serviceover200amperesbutnotmorethan400amperes @$ 10000 <br />..... Service over 400 amperes but not more than 600 amperes @$ 15000 <br />____ Serwce over 600 amperes (&) $ 200 00 <br />Service over 600 volts @ $ 450 00 <br /> COMMERCIAL AND INOUBTRIAL FEEDERS <br /> Installation of Alterations or Relo~etlon of Distribution Feedere: <br /> ___ Notmorethanlg0ampsres ..... @$ 2500 <br />___ Over 100 amperes but not more than 200 amperes @ $ 4000 __ <br />__ Over2OOamperesbutnotmorethan4OOamperes (-¢$ 7000 <br />__ Over 400 amperes 4~ $ 85 00 <br />Feederover600volts ~ $ 120 00 <br /> MISCELLANEOUS <br />__ A Eachtrailerormobilehomespaee(Serviceequipmont) ('~)$ 2500 <br /> ....... B Each supplyfor mobilehome fOonneotion) ~l~ $ 2500 <br />__ C EachirrigationpumpfAttachamapsho~ing[ooation) ~'~:$ 30,00 <br /> , O Each electric sign or outline lighting @ $ $00g <br /> <br />..... E Each swimming pooltbonding~ ¢¢ $ 30 00 <br /> BRANCH CIRCUITS <br />____ One new c rcu t; a era on or extension (~' $ 20,00 <br />..... Two or more r~ew circuits' alteratione or extensions (~i$ <br />__ Other (as per NEC and Building Official) <br />__ On-Si e Technical Review apply directly el Marion County only <br />__ Industrial Plant Inspection fapply directly at Marion County only) <br />__ Reinepection Fee (~_? $ 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 />LJ HOMEOWNERS - I hereby certify that I am the owner of the property described above, at which location I propose to make an electrical installation for <br /> my own use and this property is not being constructed for sale, lease or rent <br /> <br />SIGNATURE OF APPLICANT ~. <br /> <br /> <br />