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Received By <br /> <br />tMA'RION '- '-~enator Bldg, No. gge <br /> TY BUILDING INSPECTION <br /> <br /> 220 High Street NE <br /> Salem+ Oregon 97301 <br /> <br /> ELECTRICAL PERMIT APPLICATION <br /> <br />Job Address:: <br /> <br />l~;c al Firm <br /> <br />Supervising Electrician <br /> <br />Electrical Contractor's NO <br /> <br />Phone:: <br /> <br />Site NO:: <br />Phone <br />Phone Address;; <br /> <br />Address <br /> <br />Addition [] Occupancy <br />Relocation ~ Oho, riga [] <br /> <br />Home Builder's Registration NO :; <br /> <br /> Useor New <br /> · . ,~.~,~ Residential <br /> ElectriciaNs NO:: Building ; [~ Commercial Alteration ~ <br /> <br /> No, RESIDENTIAL <br /> _ Residence wiring lace than 1000 sq ft ~:, $ 5000 <br /> __ Residence wiring lessthan 2000 sq ft ~, $ 75,00 <br /> ........ Residencewiringover~000s~ fl ~ $ 10500 <br /> __ Eleotrioheatinstallationinexistingresidence ¢¢$ 30,,00 <br /> SERVICE~ <br /> / TemporaryConstru~ion Service ..... (¢ $ 30,00 <br /> Service change only in an existing residence ~ $ 30 00 <br /> Commercial or Industrial: <br /> _~ Service not over 100 amperes .......... ~ $ 4500 <br /> ~ Service over 100 amperes but not more than 200 amperes (a) $ 70,00 ............................ <br /> Service over 200amperesbu~no~morethan400amperes ~:, $ 10000 <br /> ~ Service over 400 amperes but not more than 600 amperes ~ $ 150,00 <br /> _~ Service over 600 amperes ~ $ 200 00 <br /> ~ Set,ice over 600 volts .................. (~ $ 450 00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br /> ~ NOt morethan 100 amperes .... ~' $ 2500 <br /> ~ OverlOOamperesbutnotmorethan2OOamperes (~$ 4000 <br /> _~ Over200amperesbutnotmorethan400amperes ~:,$ 7000 <br /> ~ Over 400 amperes ................ ¢¢ $ 85,00 <br /> _~ Feeder over 600 volts ~¢~$ 120,00 <br /> MISCELLANEOUS <br /> ~ A Eachtrailerormobilehomespace(Serviceequipment) .......... ¢~$ 2500 <br /> B Each supply for mobile home (Connection ~ $ <br /> ~ C Each irrigation pump (Attach a map s~owlnglocadon) ¢; $ 30 00 <br /> D Each electric sign or outlinelighting 8i~ $ 3000 <br /> ~ E Each swimming pool (bonding) ~ $ 3000 <br /> BRANCH CIRCUITS <br /> ~ OnenewcirculLatterationorextension ~85 2000 <br /> ~ Two or more new cimuits; alterations or extensions ........ ~) $ 30 00 <br /> .... Other (as per NEC and Building Official) <br /> ~ On-Site Technical Review (apply directly at Marion County only) <br /> ~ Industrial Plant Inspection (apply directly at Marion County only) <br /> ~ Reinspeccon Fee ~ $ ~0 0O <br /> FEE ~, <br /> STATE SURCHARGE <br /> Please return COMPLETE APPLICATION ~ ~ <br /> with the indicated fee, INVESTIGATION FEE <br /> FLEET SURCHARGE <br /> TOTAL <br /> <br />agree to mako t~o oloctrical inst~llation according to the submitted plans and specifications, the laws of the State of Oregon and the O~inances of Marion Coun~ <br />SIGNATU R E O¢ APPLICANT::. ~O~ <br /> <br />'C:~OMEOWNERS - 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 /> my own use and this property is not t~eing constructed for sale, lease or rent <br /> <br /> <br />