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Received <br /> <br />· IARION COUNTY BUILDING INSPECTION <br />Senator Bide NO, 225 <br />220 High Street NE <br /> Salem~ Oregon 97301 <br /> <br /> Phone ~88-g147 <br /> <br /> Code-A. Phone 4:30 EM- - 8:00 A.M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> '~ Phone:: <br /> ' Site No <br /> <br />Addition [] Occupancy <br />Relocation [] Change [] <br /> <br />Electrlc~ontractor~ No.:: Home Builder~J Registration No.;: <br /> <br />Supervising '-""- ~' ' Use of New- <br />Electrician's No ,.~ ~ Building:: Alteration <br /> <br /> NO. RESIDENTIAL <br /> __ Residence wiring leas than 1000 sq, ff ........................... ~) $ 30.00 <br /> __ Residencewiring lessthan 2000 sq ft ~ $ 5000 <br /> __ Residence wiring over 2000 sq,, ft C~ $ 70,00 <br /> __ Electric heat installation in existing residence ~ $ 20 00 <br /> SERVICES <br /> ~ TemporaryConstru~ion Semite ......... ~ $ 2000 <br /> ~ Service change onlyi~ an existing ~sidence ......... ~ $ ~0 00 <br /> Commercial or Industtiah <br /> ~ Service not over 100 amperes ........................... <br /> ~ Serviceoverl00amperesbutnotmomthan~00empems ....... ~$ 5000 <br /> ~ Service over 200 amperes but not mom th~n 400 ampere9 ......... ~ $ 7000 <br /> ~ Serviceover400ampemsbutnotmomthan600empems ......... ~ $ 10000 <br /> ~ Serviceover600ampems .......................................... ~ $ 130.00 <br /> ~ Serv~ceover600volts ............. ~ $ 30000 <br /> COMMERCIAL AND iNDUSTRIAL FEEDERS <br /> Install~lon of Al~r~lons or Relocation of Distribution F~ders: <br /> ~ Not momthen 100amperes ........................................... ~ $ 2000 <br /> ~ Over 100 amperes but not mom than 200 amperes .............. ~ $ 3000 <br /> ~ ~er200amperesbutnotmorethan400amperos ................ ~$ 50.00 <br /> ~ O~r 400 amperes ....................... <br /> ~ Feederover600vol~ ...................................... ~ $ 80.00 <br /> MISCELLANEOUS <br /> ~ A. Eachtrai~eror~obllehomespace(se~i~equipment) ................... ~$ 2000 <br /> ~ B. Each supply fo~ mobile home (Connection) ............. ~ $ ~0 00 <br /> ~ C Eachirdgationpump(Attachamapshowinglocation) ...... ~$ 20.00 <br /> ~ D. Eachele~ricstgnorouttinelighting .............................. ~$ 20.00 <br /> ~ E. Each msidentialswimmlngpcol ....................... ~ $ 2000 <br /> BRANCH CIRCUITS <br /> ~ Onenewclmuit;alterationorextension ............................ ~$ 15.00 <br /> ~ Twoormomnewcircuits;alterationsore~ensions ................. ~$ 2000 <br /> ~ ~her (as per NEC and Building ~ficial) <br /> ~ On-Site Technical Review (apply dimply at Marion Coun~ only) ......... <br /> ~ Jndu~ria~ Plant Inspection (apply directly at Madon Coun~ only) <br /> ~ Relnspectlon Fee ..................... <br /> FEE <br /> STATE SURCHARGE <br /> Please return COMPLETE APPLICATION P~N REVIEW FEE <br /> <br /> with the indicated fee INVESTIGATION FEE <br /> FLEETSURCHARGE ~'. ~1 [~ <br /> TOTAL ._~t/C' * ~ ~ <br />I agree to make the electrical in~talration a~o~Jing to tile submit plans and specifications, the.law t the State of Oregon and the Ordinances of Marion County. <br />SIGNATURE OF APPLICANT ~ <br /> <br />[] 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 />