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,.,. ., ~l~l~l ~I.IN'I'~ BUII~DING INSPECTION <br /> <br /> .::?~::~,~::,. :,~:~:~:?:;~,~:c,~,::~<:~' ::~,:,:' .~a~:~o~,~:~:~0.~.~..:. :~: : ', :..:, , ,: <br /> · : ' ' <br /> ~ ~;~.~G ~RICAL PERMIT APPLICATION <br /> <br />New [] Addition [] Occupancy <br />Alteret on [] Relocation [] Change [] <br /> <br /> No. RESIDENTIAL <br />__ Residence wiring less than 1000 sq. ff ................................. @ $ 30.00 <br />__ Residence wiring less then 2000 sq. ft ................................. ~. $ 50.00 <br />__ Residence wiring over 2000 sq, ft .................................... @ $ 70.00 <br />__. Electric heat installation in existing residence ........................... @ $ 20,00 <br /> SERVICES <br />__ Temporary Construction Service ..................................... @ $ 20.00 <br />__ Service changeonly in an existing residence ........................... @ $ 20,00 <br /> Commel~clal or Industrial: <br />__ Servicenotoverl00emperas ....................................... @$ 30,00 <br />__ ServJceoverl00amperesbutnotmorethan200amperes ................. @$ 50,00 <br />__ Service over 200 amperes but not mon~ then 400 amperes ................. @ $ 70,00 <br />___ Service over 400 amperes but not more then 600 amperes ................. @ $ 100.00 <br />__ Service over 600 amperes ......................................... @ $ 130.00 <br />__ Serviceover600volts ............................................. @ $ 300,00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Dietribution Feedere: <br />__ Not morethan 100amperes ........................................ @ $ 20.00 <br />__ ©verl00amperasbsrnotmorethan200amperes ....................... @$ 30.00 <br />__ Over200amperesbutnotmorathen400empere$ ....................... @.$ 50.00 <br />__ Over4,00amperes ............................................... @$ 60.00 <br />__ Feederover600volts ............................................. @$ 80.00 <br />  MISCELLANEOUS <br /> A. Eeshtrailerormobilehomespace(Serviceequipment) .................. @5 20.00 <br />__ B, Eachsupplyformobilehome(¢onneotion) ........................... @$ 20,00 <br />__ C. EachJrrJgationpump(Attachamapshowinglocation) ..................... @$ 20.00 <br />__ ID. Each electric sign or outline lighting ................................ @ $ 20.00 <br />__ E. Each residential swimming pool .................................. @ $ 20.00 <br /> BRANCH CIRCUITS <br />__ One new circuit; alteration or extension ............................... @ $ 15,00 <br />__ Two or more new circuits; alterations or extensions ....................... @ $ 20,00 <br />__ Other (as per NEC and Building Official) ......................................... <br />__ On-Site Technical Review (apply directly at Madon County only) ....................... <br />__ Industrial Plant Inspection (apply directly at Marion County only) ...................... <br />__ Reinspection Fee .......................................................... <br /> FEE <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION PLAN REVIEW FBE <br /> INVESTIGATION FEE <br />with the indicated fee. FLEET SURCHARGE <br /> TOTAL <br /> <br />agree to make the elegtrlGel installation ~occ~ding to the submi~ed plans and specifications~ the laws of the S~te of Oregon and the O~inances ~ Marion Cou ~. <br /> <br /> HOMEOWNERS - I hereby certi~ that I am the owner of the pmpe~ described above, at which location I propose to make an ele~fic~t installation ~or <br /> my own use and this pmper~ is not being constru~ed for sale, lease or rant, <br /> <br />31SNATURE OF APPLISANI~ <br /> <br />MC 15-34 (Owner doing his own work} <br />Rev. 3/87 <br /> <br /> <br />