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MARION COUNTY BUILDING INSPECTION <br /> Senator EIIdg. No, 225 <br /> 2~0 High StPe~t NE <br /> Salem, O~gon g?:~Ot ~ <br /> <br />Owner' Phone: Address: <br />Job Address: Cross Street: <br /> <br />Supervising -- Use of Residential ~ New ~j t' ...... Addition [] <br />Electriclan~ NO Building; CommercialE~I Alteration [] Relocation [] <br /> <br />Occupancy <br />Change <br /> <br /> No. RESIDENTIAL <br />__ Residence wh'ing less than 1000 sq, ff ................................. ~7! $ 50.00 <br />........ Residence wiring less than 2000 sq. ft ................................. @ $ 75.00 <br />__ Residence wiring over 2000 sq, ft .................................... (~/~ $ 105.00 <br />___ Electric heat installation in existing residence ........................... @ $ 30.00 <br /> SERVICES <br />__ Temporary Construction Service ..................................... @ $ <br />__ Servicechange only in an existing residence ........................... @ $ S0.00 <br /> Commerelal or Industrial: <br />__ Servi~enotoverl00amperes ....................................... @$ 4.5.00 <br />__ Service over 100 amperes but not more than 200 amperes ................. @ $ 70,00 <br />__ Servlceever200amperesbutnotmorethan400amperes ................. (C(~$ 100.00 <br />__ Service over 4,00 amperes but not more than 600 amperes ................. Cd? $ 150,00 <br />__ Servi~e ever600 amperes ......................................... @ $ 200,00 <br />__ Service over 600 volts ............................................. (a) $ 450.00 <br /> COMMERCIAL AND INDUS'i'RIAL FEEDERS <br /> installation of Alterations or Relocation of Distribution Feeders: <br />__ Not more than l00 amperes ........................................ @$ 25.00 <br />__ Over l00 amDeres bgt not more than 200 amperes ....................... @$ 40,00 <br />............. Over 200 amperes but not more than 400 amperes ....................... cc(oS 70,00 <br />__ Over400amperes ............................................... @$ 8fi,00 <br />__ Feederover600v0lts ............................................. (-¢$ 120,00 <br /> MISCELLANEOUS <br />__ A. Each trailer or mobile home space (Serviceequipment) . . . (~) $ 25,00 <br />__ B. Eachsupply for mobile home (Connection) ........ C¢ $ 25,00 <br />__ C. Eachirrigetionpump(Attac~amepshowlnglo¢atlon) ,., (?~$ 00,00 <br />.... D, ~:aCh electric sign Or Outline llghtlng .......... @$ <br />.... E, EaCh swimming pool (bonding) <br /> BRANCH CIRCUITS <br />_____~_ One new circuit; alteration or extension ........ <br />_ ~ TwO or more new circtJitS; alterations or extensions <br />____ Other (aS per NEC and Building OffiClal) ................... <br />........ On-Site Technical Review (apply directly at Marion Counfy only) <br />___ Industrial Plant Inspecgon (apply directly at Marion County only) <br />__ Reinspection Fee <br /> <br />Please return COMPLETE APPLICATION <br />with the indicated fee, <br /> <br />FEE <br />JRCHARGE <br />PLAN REVIEW FEE <br />INVESTIGATION FEE <br />FLEET SURCHARGE <br />TOTAL __ <br /> <br /> ...... 7 ' ' ~¢'~"--(Suparv~ngl~l~¥citlclani ..... <br />[] HOMEOWNERS - I hereby certify that I am the owner of the pmperfy described above,~t which location I propose to make an elec[rical installation for <br /> my own use and tl~is property is not being constructed for Sale, le~se or rent, <br /> <br />SIGNATURE OF APPL,ICANT: ..... <br /> <br />MC 15-34 <br />Rev, lS/88 <br /> <br /> <br />