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RION COUNTY BUILDING INSPECTION
<br /> ~nator Biog. No. 225
<br /> 220 High Btnaet NE
<br /> Salem, Oregon 97301
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<br /> Phone 588-~47
<br /> Co,e-A-Phone 4:.30 EM. - 8:00 A,M-
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<br />ELECTRICAL PERMIT APPLICATION
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<br />Owner: , ,"'" · t Phone: Address: 'P~'~), ~ /*~'/~ ;' ' '
<br />Situs Address', Site NO; Cross Street; .
<br />/ '
<br /> ~o D~ ~-~, ~_ , ,:
<br />Electrical Firm: ~ Phone: Address:
<br />SU pervisin~ Elec[rietafl: Phone; Address;
<br />
<br />Electrical Contractor,s No Home Euilder~ Registra6oh NO,-: ~
<br />5'- ' "
<br />,, .,. ........ ,,,,.., . .,
<br />Supervising Use of , New [] Addd~on, []., ~ Occupancy
<br />Electrician's No,: } ~ ~ '~ ,~ Building: I Alteration D ReLocation [] Change []
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<br /> NO. RESIDENTIAL
<br /> Residencewiring lessthan 1000sq. ft ....................... ~ .......... ~ $ 30.00
<br /> Flesldence wiring less than 2000 sq. ft ............... ;,... ·, · ·,; ..... ,, @ $ 50~00
<br /> Residence wiring over 2000 sq. ft ............ ; ....':...'.. '.'.; ~.;. '.."..;. ,~ $ 70.00
<br /> Electric heat installation in existing residence ........... ..,, .,' ........... '~.'. ,@.$ ~'0'.0b
<br /> SERVICES · ,, ' '
<br /> I Temporary Construction Service ................................... @'$ ;~.00 ·
<br /> Service change only in an existing residence .............. @ $ 20.00
<br />
<br /> Service not over 100 amperes ....... ',. .................. ' ............ @ $ 30.06'
<br /> Service over 160 amperes but not more than 206 amperes (~ $ 60.Q0'
<br /> Service over 200 amceres but not more than 400 am~Beres ................. @$ 70.00
<br /> Service over 400 amperes but not more than 600 amperes ................. @ $ 100 00'
<br /> Service over 600 amperes ......... ' .................. i.,, ,' ......... @ $' ,1~0.00
<br /> Service over 660 volts ................. ............................ @ $ $00,00
<br /> COMMERCIAL AND iNDUSTRIAL FEEDERS
<br /> Inetelledon of Alterations or Relocation of Distribution Feeders,'
<br /> Not more than 100 amperes ....................................... :, @ $ -' 20.00
<br /> Over 100 amperes but not more than 200 amperes .......... @ $', Bo 00
<br /> __ Over200amperesbutnotmorethan400amperes ........... i ............ @.$ 5000
<br /> Over 400 amperes ......... ....................... ' ............... @ $, '60.00
<br /> Feeder over 600 volts ............................................. @ $ 80.00
<br /> MISCELLANEOUS
<br /> A. Each trailer or mobile home space Service equipment , ............ ~ ·, , @ $ 20 00
<br /> B, Eachsupplyformobllehome(Connection) ......... '.; ............. ',~. @,$
<br /> C, Eachlrrlgationpump Aflacl~amap~howng o~aron) ~$ ~20,00,
<br /> C. Eechelectdcaignoroutlinelightlng .' .................. ',.;;..., .'. ,;'=.: ~.$' 20.00' ',-' :
<br /> E. Each residential swimming p~ol .~..'.'~ ........., ~ ..... ~ ~ .'. ' ' @ $ 20 O0
<br /> BRANCH CIRCUITS
<br /> One new circuit; alteration or extension .............................. @$ 15.00
<br /> Two or more new circuits; alterations or extecsioas ....................... @$ ~0,00
<br /> Other (es per NEC and Building Officiall .......................................
<br /> On-Site Technics] Review (apply directly at Madon County on y) .....
<br /> Industrial Plant Inepection (apply directly at Marion County only) ......................
<br /> Fleinscection Fee ........................................................
<br />
<br /> ,.~STATE SURC HARG E
<br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE
<br /> with the indicated fee, INVESTIGATION FEE
<br /> FLEET SURCHARGE -~, ~, "
<br /> TOTAL $
<br />
<br />[] HOMEOWNERS - I hereby cer'(Ify that I am the ownee of the property described apevi~ at which location I propose to make an electrical installation for
<br /> my own use and this property is not being constructed for sale. ease or rent,
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