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Reeeh/ed By::_ <br /> <br />MARION COUNTY BUILDING INSPECTION <br />Senetor aids,, No, 225 <br />220 H~gh Street NE <br /> Salem, Orc, go~ 97301 <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Supervising Use of ' <br /> <br />Phone <br /> <br />Mailing Address: <br /> <br />Address:: <br /> <br />Address <br /> <br />Home Builder's Registration No <br /> <br />Addition [] Occupancy <br /> <br />_ Residential [] New [~ <br /> CommerciAl [] Alteration {~ <br /> <br />Relocatioo ~ Change <br /> <br /> NO, RES(DENTIAL <br /> Residence wiring less than 1000 sq ft <br />_- /_ Residence wiring less than 2000 sq ft <br />___ Residence wiring over 2000 sq fl <br /> Electric heat installation in existing residence <br /> SERVICES <br /> __ Temporary Cenatrce~ion Service <br />__ Service change only in an existing residence <br /> <br /> Service ~ e~f 100 a~peres <br /> Service over t00 amperes but not mom than 200 ~peres <br /> Service over 200 amperes but not more than 400 amperes <br /> <br /> COMMERCIAL AND INDUSTRIAL ~E~DERS <br /> <br />~ ._ Not more than l00 amperes <br /> <br />~ Over 200 amperes but not more than 400 ampe~s <br /> <br />~ Feeder over 600 volts <br /> MISCELLANEOUS <br /> <br /> E Each swimming pool (bonding) BRANCH CIRCUITS <br /> <br /> O~her (as per NEC a~d Building Official <br /> <br /> 5O O0 <br /> 75 co o,7 <br />105 00 <br /> 30 00 <br /> <br /> $0 O0 <br /> 30 00 <br /> <br /> 4~ O0 __ <br /> 70 00 __ <br />100 00 <br />150 O0 <br />200 O0 __ <br />450 O0 <br /> <br /> 25 O0 <br /> 40 O0 <br /> 70 00 __ <br /> 8500 <br />120 O0 __ <br /> <br /> 25 00 <br /> 2500 <br /> 30 O0 <br /> 3000 __ <br /> 30 O0 <br /> <br /> 2000 <br /> 30 O0 __ <br /> <br /> _ _ IndustrialPlantlnspeotion(applydirectlyatManonCountyonlyl <br /> Reinspectioc Fee (~i~ $ 20 00 <br /> <br /> STATE SURCHARGE <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE __ <br /> with the indicated fee,, INVESTIGATION FEE <br /> FLEET SURCHARGE <br /> <br /> agree ,o make tho elect r,cal indt¢llafion accor~o t~/u bm,eeO pF~?~,~C'"~Pppe¢if/[C¢!~'~t ~e laws 0 , e St 8ts of OroSo 8nO ti~o O~dfnance$ of Madon Coun,y <br /> <br />~ HOMEOWNERS - I hereby cery that I am he owner 0f the property de$cr bed above: a which location propose to make an electrical installation for <br /> my own use and this property is not being constru~ed for sale, lease or rent <br /> <br />Rev ~2/88 <br /> <br /> <br />