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Received By <br /> <br />MARION COUNTY B'01LDiNG INSPECTION <br />Se. wa~tcr BId~l. No,, 225 <br />22~) High Strait RE <br /> Salem= Oregon 97301 <br /> <br /> Pharte 588-5147 <br /> Code-A-Phone 4::30 BM. - 8;00 A.M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br /> Phone:: Mailing Address;; <br /> Site No Cross Street' <br /> <br />t's NO <br /> <br />Phone: Address:: <br />Pho~le Address:: <br /> <br />Home Builder'~ Registration NO, <br /> <br /> ~ervising ['"'Uss of Residential ~ New ~J <br /> Alteration [~ <br /> L~ <br />Electricians No ~ ~Suilding <br /> <br />Addition ~ Occupancy <br />Relocation ~ Change <br /> <br /> No,, R[SIDEflTIAL <br />__ Residence wiring less than 1000 sq ft (G~ $ 50,00 <br />...... f/_ Residence wiring le~,s than 2000 sq ft ..... (&? $ 75 00 <br />__ Residencewiring over 2000 sq tt .... (d~ $ 1(~5 00 <br />~ Electric heat installation in existing residence ~ $ 30,00 <br /> SERVICES <br />~ Temporary Oonstru~ion Service .... ~ $ 30 ~ <br />~ Service change only in an existing residence ~' $ 30,,00 <br />Commercial or Industrial: <br />~ Service not Over 100 amperes ~'$ <br />.... Service over 100 amperes but not more than 200 amperes ~$ 7000 <br />~ Serviceove~00amperesbutnotmorethan400amperes ((~, $ 100 00 <br />...... Service over 400 a~peres but not more than 600 amperes (~¢$ 15000 <br />~ Service ove¢ 600 amperes ~ $ 200 00 <br />Serviceover600volts (¢~ $ 4~0 00 <br /> COMMERCIAL AND INDU$TRIAL FEEDERS <br />Installation of Alterations or Relo~atlon of Distribution Feeders: <br />Not more than 100 amperes (~ $ 25 00 <br /> ~ Overl00amperesbutnotmorethsn200ampe~s ~$ 4000 <br />Over 200 amperes but not more than 400 amperes 4~¢ $ 70 0O <br />Over400amperes ¢7, $ 8500 <br />~ Feederover6O0volts ~$ 12000 <br /> MISCELLANEOUS <br />A Each trailer or mobile home space (Service equ~pmenb ¢~= $ 25 00 <br />~ B Each supply for mobile home tOonne~iom (~' $ 25,00 <br />__. C Each irrigation pump (A~tacha map showlnglocation) Cfc~ $ 30 00 <br />.... D ESch electric sign or outline lighting ~= $ 30,00 <br />~ E Each swimming poollbonding) ¢¢~' $ 3000 <br /> BRANCH CIRCUITS <br />~ Onenewcir0u =a eration or extension (~$ 2000 <br />.... Two Or more new circuits:: alterations or extensions ((7~ $ 30,00 <br />Other (as per NEC and Budding Official) <br />~ On-Site Technical Review (apCy directly at Marion County only) <br />Industrial P~ant Inspection taPPiy dire~ly at Marion County only) <br />Reinspection Fee <~ $ '2~ O~ <br /> FEE <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> <br /> w~th the indicated fee iNVESTiGATION FEE <br /> FLEET SURCHARGE ,'~--',--',--',--',--',--~--,~, ' <br /> ,4 TOTAL _L~z~. <br /> <br />L~ HOMEOWNERS - I hereby certify that I am the owner of the property described above, at which location I~mpose to make an electrical installation for <br /> <br />MO 15-34 <br />Rev 12/88 <br /> <br /> <br />