Laserfiche WebLink
'Necei~ By: <br /> <br /> Date: <br /> <br />MARION COUNTY BUILDING INSPECTION <br />Senator Eldg, No. 226 <br />220 High Street NE <br />~elem, Oregon 97301 <br /> <br /> Phone SSS-S14? <br /> COae~A-Phone 4:3g RM. - S:S0 A.M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Owner; Phone; Address: <br /> ~ite No,' Cros~ 8treat: <br />Situs Address: <br /> ..... <br />Electrical Firm', Phone: A~dress: <br />Supervising Electrloian; Phone: Address; <br /> <br />Ele~rica~Contracter~ No,: Home Builder's Registration No.; <br /> <br />Super~¥~ing Use ~ - N~ ~ AdditiOn ~ Oc~6p~ncy <br /> <br /> NO. RESIDENTIAL <br />__ Residencewrrlnglessthanl000eq. ff ................................. @$ S0,00 <br />__ Residencewlrlngleesthan2000sq, ft ................................. @$ $0.00 <br />.......... Residence wklng over 2000 sq, ft .................................... @$ 70.00 <br />__ Electric heat instaBation in existing residence ........................... @ $ 20.00 <br /> SERVICES <br />_ Temporary Construction Service ..................................... @ $ 20.00 <br />__ Service change 0nly in an exrsting residence ........................... @ $ 20,00 <br />Comrnerclgl or industrial; <br />Service not over 100 amperes ....................................... @ $ 30,00 <br />__ Serviceoverl00arnperesbutnotmorethan200amperes ................. @$ 50.00 <br />__ Service over 200 amperes but not more than 400 amperes ................. @ $ 70,00 <br />......... Servl0e over 400 amperes but not more than 600 amperes ................. @ $ 100.00 <br />__ Servi0eover600amperes ......................................... ~? $ 130.00 <br />__ Serviseover600volts ............................................. @ $ 300.00 <br /> COMMERCIAL AND INDUSCrRiAL FEEDERS <br />Installation of Alterations or Relocation of Distribution Feeders: <br />~ Notmorethanl00ampere~ ........................................ @$ 20.00 <br />__ Overl00amperasbutnofmorethan200amperes ....................... @$ 30,00 <br /> ~ Over 200 amperes bet not more than 400 amperes ....................... @ $ 50.00 <br /> Over400amperes ............................................... @ $ 60.00 <br />__ Feederover6O0volts ............................................. @ $ <br /> MISCELLANEOUS <br />~ A. Eachtreilerormobilehomespace(Serviceaquipmem) .................. @$ 20.00 <br />__ B, Eachsupplyformobilehome(Conne~tion) ........................... @$ ~-0,00 <br /> ......... C, Eachirrlgationpump(Att~hsm~psf~owir~[oc~t~) ..................... @ $ 20,00 <br />__ D. EachelectricsignoroutJinelighting ................................ @$ g0,00 <br /> E. Each residential swimming pool .................................. @ $ 20,00 <br /> BRANCH CIRCUITS <br />__ One new clreult; alteration or extension ............................... @ $ 1~,00 <br /> <br /> ~ Two o¢ more new circuits; alterations or extensions ....................... @ $ 20.00 <br /> __ Other (as per NEC and Building Official) ......................................... <br /> __ On-Site Tach nioel Review (apply directly at Marion Coucty only) ...................... <br /> . Industrial Plant Inspection (apply directly at Marl0n Counfy only) ...................... <br /> ~ Relnspection Fee .. <br /> FEE <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 />~IGNATU RE OF APPLIOANT: / ~'~7_~ / / z~-~. , ..... <br /> <br /> ROM~OWNERS - I heroby certify that I am the owner of the property deschbed above, at which location I propose 1o make an electrical installation fOr <br /> <br />$1SNATURE OF APPUCANT: <br /> <br />3/87 <br /> <br /> <br />