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INSPECTION <br /> <br />Job Address <br /> <br />Slectricd Firm <br /> <br />Supervising Electrician <br /> <br />Electrical Contractors NO <br /> <br />Code-Arel;~one 4:30 RM,, - 8::00 A,,M,, <br /> <br /> PERMIT APPLICATION <br /> <br />Phone <br /> <br />Phone <br /> <br />Cross Street <br /> <br />Scpervising <br />Electricians NO <br /> <br />Phone Address <br /> <br />Home Builders Registration No:: <br /> <br />Use of Residential <br /> Commercial <br /> <br />Iteration <br /> <br />Addition [] <br />Relocation [] <br /> <br /> ___ Residence wiring less than 2000 sq ft ~:, $ 7500 <br /> Residence widng over ;~000 sq. ft ¢¢$ 10500 <br /> ___ Electric heat installation Jn existing residence ('dj $ 30 0g <br /> SERVICES <br /> .... Temporary Construction Service .... ('dj$ S000 <br /> / Service chanqe only in an existing residence ~: $ 30 O0 ~ ~, ~ <br /> <br /> __ Service not over 100 amperes ('~:' $ 45,00 __ <br /> Service over 100 amperes but not more than 200 amperes ('~ $ 70 00 <br /> __ Serviceover200amperesbutnotmorethen400amperes (~'$ 10000 __ <br /> Service over 400 amperes but not more than 600 amperes ¢4~ $ 15000 <br /> __ Service over 600 amperes (~ $ 20000 <br /> Service over 600 volts ~, $ 45000 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> installation of Alterations or Relocation of Distribution Feeders: <br /> __ NoI more than l00 amperes ¢<~$ 2500 <br /> Over 100 amperes but not more than 200 amperes ~i~$ 4000 <br /> .... Over 200 amperes but not more than 400 amperes ¢-~i: $ 7000 <br /> __ Over400amperes (~/) $ 85 00 <br /> ..... Feeder over 600 volts (~:$ 12000 <br /> MISCELLANEOUS <br /> __ A Each trailer or mobile home apace (Service equipment} (-dj $ 25 00 <br /> __ B EachsupplyformobilehomelOonnectiom (?1=$ 2500 <br /> C Each irrigation pump {Attach a mapshowinglocatlon) ~(~ $ 30 00 <br /> __ 6) Each electric sign ar outline lighting (!¢' $ 30 00 <br /> E Eachswimming pool(bonding) ¢.z $ 30 00 <br /> BRANCH CIRCUITS <br /> __ Onenewcircui=a era onorexenson ('~$ ~000 <br /> ./__ Two or more new circuits alteraaon$ or extensions (a$ 30 O0 ;:~;E, .o 0 <br /> __ Other (as per NEC and Building Official) <br /> ...... On-Site Teche ca Rev ew (app y directly at Marion County only) <br /> ____ Industrial Plant Inspection (apply directly at Marion Count~ only) <br /> __ Reinspection Fee (~ $ 20 O0 __ <br /> FEE ~, O0 <br /> STATE SURCHARGE __ ~,~, ¢ O <br /> Please return COMPLETE APPLICATION .t__ PLAN REVIEW FEE <br /> with the indicated fee, c~ <br /> 0' FLEETSURCHARGE ~3~ ~(,./ <br /> TOTAL -~-- ~ <br /> <br />I ag co o make he eec r ca ns a a on acco d ngo he subm trod plans and specifications, the ~aws of the State of Oregon and the Ordinances of Marion County <br /> <br />SIGNATUR~ OF APPLICANT ~O~) Not <br />X HOMEOWNERS - I hereby cartiiy that I am the owner of the property desEribed above, at which Iocstion ~ propose to make an electrical installation for <br />-- my own use and this prope.rty is not being constructed for sale= lease or rent <br /> <br />MC t~.$4 .J ~ <br /> <br />.... ¢,~$ 5000 <br /> <br /> No. RESIDENTIAL <br />____ Residence wiring less than 1000 sq ft <br /> <br />Occupancy <br />Change <br /> <br /> <br />