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Received By <br /> <br />MARION COUNTY BUILDING INSPECTION <br />Senator Bidg,, NO, 225 <br />220 Riga Street NE <br /> Salem~ Oregon 97301 <br /> <br /> Phone 58e-5147 <br /> <br />Job Address <br /> <br />Electrical Fin <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Phone <br /> <br />Mailing Address <br /> <br /> Cross Street <br />Phone Address <br /> <br />Phone <br /> <br />Address <br /> <br />' Supervising Use of <br /> ElectriciansNo / 4//7~,~_--- Build,nb:: <br /> <br />No. RESIDENTIAL <br /> <br />Home Braider's Registration No <br /> <br />Residential [] New <br />Commercial L~ Alteration <br /> <br />.... Residence wiring less then 1000 sq fl (e~$ 5000 <br /> /.._. Residencewiringlessthan~000sq ft (o'S 7500 <br />___ Reaidencewiringover2000sq ft (~$ 10500 .... <br />....... Electric heat install~eion in ex~sting residence ¢i, $ 30 00 <br /> SERVICES <br />___ Temporary Construction Service ~ $ 3000 <br /> Service change only in an ex s ng res dance (b, $ $000 <br /> Commercial or Industrial:: <br /> Service not over 100 amperes (.c¢$ 45 00 <br />__ Serviee over l0g amperes but nor mere Ihan ;~00 amperes (?tls 7000 <br /> Service over 200 amperes but not more than 400 amperes ~f¢$ 10000 <br /> Service over 400 amperes but not more than 600 amperes ¢.i$ 15000 <br />__ Serviceover600amperes e $ 20000 <br /> Service over 600 volts r¢$ 450 00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterationa Or Relo~ation of Distribution Feeders:: <br />___ Not mere than t00 amperes (?¢, $ 25 00 <br />__ Overl00amperesbutnotmorethan~00amperes o, $ 4000 <br />.... Over 200 amperes but net mere than 400 amperes (eS 7000 <br /> Over400amperes e~ $ 85 00 <br />__ Feederover600,~olts e,=$ 12000 <br /> MISCELLANEOU~ <br />A EachtraiJerormobilenomespacefSorvice~qu~pment (~ $ 2500 <br />___ B Each supply for mobile home i Connectlon) (% $ 2500 <br />C Each irrigation pump (Attach a mapsno~,mglo¢~tion~ ((~ $ 30 00 <br />___ D Each eleotric sign oroutfinelighting ¢¢ $ 30 00 <br />..... S Each swimming poahbonding) ¢~$ 3000 <br /> BRANCH CIRCUITS <br />__ One new circuit alteraben or extension (~ $ 2000 <br />__ Twoormerenewoircuits alterationsorextensiona (;~ $ g0 00 <br />__ Other asperNECandBuildngOfoa) <br />___ On-Site TechniceJ Review apply directly a Mar on Coun y on y <br />.... industrial Plant Inspection (apply directly at Marion County only) <br />__ Reinapeotion Fee a~ $ 2000 <br /> FEE <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> <br />Addition Iq Occupancy <br />Relocation [] Change L~ <br /> <br />-- -t. O0 <br /> - JT, <br /> <br /> with the indicated fee iNVESTIGATION FEE <br /> FLEET SURCHARGE <br /> <br />HOMEOWNERS - I hereby certify that I am the owner of the property described above, at which location I propose to make an electrical installation for <br />erly Own use and this property is not being constructed for sale, lease or rent <br /> <br /> <br />