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MARION COUNTY ~UILD?G INSPECTION <br /> Senator Bidg,, No, 225 <br /> 22{) High Street NE <br /> Salem, Oregon 97301 <br /> <br /> Phone ~88-$147 <br /> Codo-A-Phone 4::30 EM, - 8:00 A.M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />~O'w~;" ] Phone, Mailing Address <br /> / <br />] ~ob Address <J Site No, Cross Street:: <br />I~Jectricsl Firm:: Phone Address:: <br /> <br /> Supervis!n~g Electrician:: Phone Address:: <br /> <br /> Electrical Contractor~ NO:: Home Builders Registration No:; <br /> <br /> Supervising Useof Residential [] I New [] Addition [] Occupancy <br /> Electrician's NO ,~.37~¢¢.5' Sslldlng:: {~-/('-¢.5 Commercial []I Alteration ~1 Relocation [] Change <br /> <br /> No. RESIDENTIAL <br />____ Residence wiring Ieee than 1000 sq ft ...... @ $ 50 00 <br />__ Residencewiringlessthan:Z0g0sd ft ~$ 7500 <br />__ Residence wiring over 2000 sq, ft ~ $ 10500 <br />__ Electric heat installation in existing residence (o)_ $ 30,00 <br /> SERVICES <br />__ Temporary Construction Service @ $ 30 00 <br />__ Service change only in an existing residence ~ $ 30 00 <br /> Commercial or Industrial: <br />__ Service not over 100 amperes (_-q~ $ 4,500 <br />__ Service over 100 amperes but not more than 200 amperes @ $ 7000 <br />.......... Service over 200 amperes but not more than 4g0 amperes (',:¢ $ 100,,00 <br />__ Sefviceover400amperasbutnotmorethanE00amperes ~'$ 15000 <br />___, ServiceoverE00amperes @$ 20000 <br />__ SsrvlceoverE00volts 6? $ 45000 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installstlon of Alterations or Relocation of Distribution Feeders: <br />..... Not more than 100 amperes ............. (¢ $ 25,00 <br />.... Over 100 amperes but not more than 200 amperes @ $ 40,00 <br />__ Over 200 amperes but not more than 400 amperes ....... @ $ 7000 <br />__ Over400amperes ......... ('_-¢$ 85,00 <br />__ Feederover600volts Ca~$ 120,00 <br /> MISCELLANEOUS <br />.......... A Each trailer or mobile home space (Service eqOprneng ' ~ $ 2500 __ <br />__ B Eachsupplyfor mobile home (connection) ............. @ $ 2500 <br />.... C. Eachirrigagonpump¢ctachamapshowinglocation} @$ 30.00 <br />__ D Each electric sign or outiinelighting .......... @ $ 3000 <br />__ E Each swimming pool (bonding) @ $ 30.00 __ <br /> BRANCH CIRCUITS <br />__ One new circuit slteration or extension @ $ 20 00 <br />,.~_ Twoormorenewcircuits:alterationsorextensions @$ 3000 <br />__ Other (as per NEC and Building Official) <br /> On-Site Technical Review (apply directly at Marion County only) <br />__ Ind~stnal Plant Inspection (apply directly at Marion County only) <br />__ Reinspection Fee ~: $ 2000 <br /> FEE <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> <br /> with the indicated fee INVESTIGATION FEE <br /> FLEET SURCHARGE <br /> ,r TOTAL : <br /> <br /> agree t~ make the ele~dcaJ Installation aooo~dtng to the submi~ed plans and specifications the laws of the State of Oregon and the Ordinances ct Marion County <br /> <br /> No: <br /> <br />~ HOMEOWNERS ~ [ hereby certi~ that I am the owner of the proper~y described above, at which location I ~ropose ~o make an electrical installation for <br /> my own use ~nd this ~roperty is not being constructed for sale, lease or rent,, <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> <br />