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Received By: <br /> <br />MARION.,. COI.~ITY BUILDING INSPECTION <br /> ~enator Brdg. NO. 225 <br /> 22.0 High Street NE <br /> Salem~ Oregon 97S~1 <br /> <br /> Phone ~88-5147 <br /> Code-A-Phone 4:$0 EM, - S:00 A.M, <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Owner: " Phone: ...... <br />Supervi~g E~riclan:~ / Phone: Add~S: <br /> <br />Elec¢io~¢~nt~'{~r~ ~o.: Home Builder~ Registration No.: <br />Supervlsln¢ Use of Residential ""'"~'"' New ~ Addition ~ Occupancy <br /> ~ Alteration ~ Re[ocation ~ Change <br /> <br />NO. <br /> <br /> REBIDENTIAL <br />-- Residencewlrlnglessthanl000sd. ft ................................. @$ 30.00 <br /> _ Residence wiring less than 2000 sq, ft ................................. @ $ 50,00 <br />__ Residencewiringover2000sq. ft .................................... @$ 70,00 <br />__ Electric heat installation in existing residence ........................... @ $ 2O.00 <br /> SERVICES <br />____ Temporary Construction Service ..................................... @ $ 20.00 <br />__ Service change only in an existing residence ........................... @ $ 20.00 <br /> Commercial or Industrial; <br />___ Service net over 100 amperes ....................................... @ $ 30.00 <br />__ Serviceoverl00amperesbutnotmorethan200amperes ................. @_$ 50,00 <br />__ Service over 200 amperes but not more than 400 amperes ................. @ $ 70,00 <br /> Service over 400 amperes but not more than 600 amperes ................. @ $ 100.00 <br />__ ServlceeverG00amperes ......................................... @ $ 130.00 <br />__ Service over 600 volts ............................................. @ $ 300,00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Instellatlon of Alterations or Relocation of Dlstrlbatloe Feedera: <br />__ Not morethan 100amperes ........................................ @ $ 20,00 <br />__ Over 100 amperes but not more than 200 amperea ....................... @ $ 30.00 <br />__ Over200amperesbutnotmorethan400amperes ....................... @$ 50,00 <br />__ Over400amperes ............................................... @$ 60,00 <br />_.__ FeederoverG00volts ............................................. @$ 80.00 <br /> MISCELLANEOUS <br />__ A. Eachtrailerorrnobilehomespace(serviceequipmem) .................. @$ 20,00 <br />__ lB, Each supply for mobile home (Connemlon) ........................... @ $ 20.00 <br />__ C, Eachlrrigatlonpump(Attacnamapshowinglocation) ..................... @$ 20,00 <br />__ D. Eachelectricslgnoroutl[nelJghting ................................ @$ 20,00 <br />__ E, Each residential swimming pool .................................. @ $ 20.00 <br /> BRANCH ClRCUI'IPS <br />__ Onenewcircull;alterationorextension ............................... @$ 15.00 <br />--- Twoormorenewclrcuits;alterationaorextenaions ....................... @$ 20,00 <br />__ Other (as per NEC and Building Official) ......................................... <br />-- On-Site Technical Review (apply dlrectly at Marion County only) ...................... <br />__ Industrial P,ent Inspectlon (apply directly at Marion County only) ...................... <br />__ Reinspection Fee ................................................ @ $ 15.00 <br /> FEE <br /> STATE SURCHARGE <br /> <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> ' ' - NVEST GAT ON FEE . <br /> w~th the ~nd~cated fee. FLEET SURCHARGE '~'" ~*'/7 <br /> // ~'* .,"~A TOTAL , $ ..,- <br /> //11 <br /> ', V(, , ' .... <br /> ,agree ,o make the eleclrlcal ,natal,etlon aCCording 'o t~/8 ~l;~,ed p,ans all_~c~ip~citloat '~/t h~ law8 ~f t he State of Oregon and the (~rdinan~$ ¢ Marion County, <br /> <br />~ HOMEOWNERS - I hereby ce~i~ that I am the owner of the pmpe~ described above, at which location I propose to make an ele~rical installation for <br /> my own use and this pmpe~ is not being constru~ed for sale, lease or met, <br /> <br />~IGNATURE OF APPLICAN~ <br /> <br /> <br />