Laserfiche WebLink
Code-A-Phone 4:$0 EM, - (l:0O A,M, <br /> <br /> [,,4ARtON COUNTY <br />BUiLDiNG iNS?EC'[[0N ELECTRICAL PERMIT APPLICATION <br /> <br /> Owner: Phone: Address; <br /> <br /> S~vlsiag Electrician: Phone: A mSS: ' ..... <br /> <br />SupeK/isihg I' Useof New ~ " []" Occupancy <br />.... Alteration [] Relocation [] Change [] <br /> <br />No. <br /> <br /> RESIDENTIAL <br />__ Reeldenoewidnglessthanl00gsq. ft ................................. ~$ 30,00 <br />--., Reaidencewidnglessthan2000sq, ft ................................. @$ 50.00 <br />__ Resldencewiringoverg000sq, ft .................................... @$ 70.00 <br />__ Electric heat installation in existing residence ........................... ~} $ 20,00 <br /> SERVICES <br />__ Temporary Construction Service ................................... ;. @ $ 20.00 <br />.__ Service change only in an existing residence ........................... @ $ 20.00 <br />Commercial or Industrlah <br />__ Service not over 100 amperes ....................................... (3 $ 30,00 <br />__, Serviceoverl00amperesbutnotmorethang00amperes ................. ~$ 50.00 <br />__~__ Service over 200 amperes but not more than 400 amperes ................. ~) $ 70,00 <br /> <br /> .__ Servlceover400amperesbutnotmorethanG00amperes ................. @ $ 100,0g <br /> __ Serviceover600amperes ......................................... @ $ 100,00 <br /> __ Service over 600 volts ............................................. {4~ $ 300.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br /> __ Notmorethan 10gamperes ........................................ @ $ 20,00 <br /> ____ Overl00amperesbotnotmorethan200amperes ....................... @~$ 30.00 <br /> __ Over200amperesbutnotmorethen400amperes ....................... @$ 50.00 <br /> __ Over 400 amperes ............................................... @ $ 50,00 <br /> __ Feederover600volts ............................................. @ $ 80,00 <br /> MISCELLANEOUS <br /> __ A, EachtrailerormobJlehomespace(Serviceequiprnent) ................ ., @$ 20.00 <br /> __ B. Each suppty for mobile home (Connection) ........................... @ $ 20,00 <br /> ~ C, Each irrigation pump Attach a map chowiclg location) ...... @ $ ~ -- <br /> __ D, EachelectricsignoroutllnelightJng ............................. .., @$ 20,00 <br /> __ E. Each residential swimming pod .................................. @ $ 20,00 <br /> BRANCH ClRCUI'~ <br /> One new circuit; alteration or extension ............................... @$ 1~.00 <br /> __ Two or more new cimuits; alterations or extenaions ....................... @ $ 20.00 <br /> __ Other (as per NEC and Building Official) ......................................... <br /> -- On-Site Technical Review (apply directly at Madon County only) ...................... <br /> -- IndustdalPlarelnspectloe(appiydirectlyatMarlonCountyonly) ...................... <br /> __. Reinspection Fee .......................................................... <br /> FEE <br /> ~"~ STATE SURCHARGE <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> with the indicated fee, iNVESTIGATiON FEE <br /> FLEET SURCHAR(.~iE <br /> TOTAL <br /> <br /> agree to make the ele~tri~at Instalt coordirlg to t ' ted specifications, the laws of the State of Oregon and the Ordtr~ances of Marlor~ County. <br />~iGNATURE OF Ai~pL CANT~ ~"~ <br />[] HOMEOWNERS - I hereby ca, fy that I em the owner of the proper~y described above, at which location I propose ~ make en electrical installation for <br />my own use and this property l§ not being constructed for sale. lease or rent. <br /> <br />SIGNATURE OF ARRkrCANT; <br /> <br />Rev. 3/87 <br /> <br /> <br />