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, ReceiVed By: <br /> [;.ate; __ <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator Bldg. NO. ~ <br /> 220 High SS'e~t NE <br /> Salem, Oregon 97301 <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Sacervislng <br />ElectrJclan~ No.: <br /> <br />Addition ~ Occupancy <br />Relocation Change [] <br /> <br /> NO. RESIDENTIAL -- <br /> Recidencewlrlnglessthan 1000sq. ft ...................... @$ 30.00 <br /> Residence wiring leas than 2000 sq, ft ...... : :i: i::: i i: 'i ..... @ $ §0.00 -- <br /> Residencewiringover2000sq ft ..................... @$, 70.00 <br /> Electric heat installation In existing residence .. ,' .... @ $ 20,00 -- <br /> SERVICES -- -- <br /> Temporary Constructioc Service ............ . ............. '@ $ 20.00' <br /> Serv ce change on y n an ex st ng res dense ........................... @$ 20.00 <br /> Commercial or Industrial: <br /> Service not over 100 amperes ............. <br /> Service ever 100 amperes but not more than ~)'~r~pe~ ................. @ $ 30.00 <br /> ................ @$ 50.00 <br /> __ Service over 200 amperes Out not more than 400 amperes ................ @ $ 70,00 <br /> = Service over 400 amperes but not more than 600 amperes ................. @ $ 100,00 <br /> -- Service over 600 amperes ................. <br /> Service over 600 volts ..................... iiii .................... @ $ 180.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDEI~ .................. @ $ ,300.00 <br /> Installation o! Alterations or Relocation of Distribution Feeders: <br /> NOt mom than 100 arnperes ....................................... @$ 20.00 <br /> Over 100 amperes out not mom than 200 amperes ....... <br /> ................ @ $ 30.00 <br /> Over 200 amperes out not more than 400 amperes @$ 50,00 <br /> Over 400 amr)eres ..... <br /> ......... ~. $ 60.00 <br /> Feeder over 600 volts ............................................ @ $ 80,00 <br /> j , ~-- MISCELLANEOUS ' <br /> /,~_z~._ A. Eechtrailerormobilehomespsce(Servl~eec~uicmentl ........ @$ 20.00 <br /> J ~ ~ B. Eechsupplyforrnobilehome(connestlon) ................. <br /> .......... @$ ~o0o ?~.~ __ <br /> C. Each irrigation pump (Attach a map showing te=ation) ............ @ $ ' 20.00 -- <br /> D. Eechelec~ricsJgnoroutlne ghtng ....................... @$ 20,00 <br /> __ E. Each residential swimming pool ................................ @ $ ~0.00 <br /> BRANCH CIRCUITS ' ' <br /> One new circuit; altsration or axtensio~ .............................. @$ 15.00 <br /> Two or more new circuits; alterations or extensions ..................... _~ $ 20,00 <br /> Other (as Der NEC and Building Official) ................................. <br /> On-Site Technical Review lapply directly at Marion County only) ......... ' ...... <br /> ndustdal Plant Inspection (apply diremly at Marion County only) ......... i i i i i ....... <br /> <br /> STATE SURCHARGE <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> with the indicated fee, INVESTIGATION FEE <br /> FLEET SURCHARGE <br /> ~,~ TOTAL $ ' <br /> <br /> (, J ~, ~ ~r ~ (Supe~vJ$ingElectficianl <br />I- HOMEOWNERS ~ I hereby cer[ify that I am the owner of the proper~y clescribed above, at which location I prodoss to ma[<e a~ electrical installation fsi <br /> my own use and this property is not being constructed for sale. lease or rent. <br /> <br /> <br />