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Received By <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator Bldg. No 22S <br /> 220 High street NE <br /> Salem. Oregon 97301 <br /> <br /> Phone 858-5147 <br /> Code-A-Phone 4::3g EM,, -8::00 A.M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Supervisi.~ El~ct.r,c,sn ~/// <br /> <br />Phone <br /> <br />Mailing Address <br /> <br />Address <br /> <br />-SL~g Use of <br /> ElectricJan=s NO / g/7¢.,~ Building <br /> <br /> Home SuJtder's Registration NO <br /> <br />Residential [] New [] Addition [] Occupancy <br />Oommercial [] Alteration [] Relocation [] Change [] <br /> <br />NO,, <br /> <br />Please return COMPLETE APPLICATION <br />with the indicated fee <br /> <br /> RESIDENTIAL <br />____ Residence wiring less than 1000 sq ft ¢ $ 5000 <br /> Residence wiring less than 2000 sq f~ (_['~ $ 7500 <br /> Residence wiring over 2000 sq ft el~ $ 105 0g <br />___ Electric heat installation in existing residence ~-~ $ 30 00 <br /> SERVICES <br />__ TemporafyConstru~ionService Ca) $ 3O,OO <br /> Service change only in an existing residence ('d~ $ 3000 <br /> Commercial or Industrial:: <br />___ Service not over 100 amperes (~) $ 45 O0 <br /> <br />__ Service over 600 vo(ts ¢~. $ 45000 <br /> <br /> Over400amperes 6i $ 85,00 <br /> Feeder over 600 volts (¢ $ 120 00 <br /> MISCELLANEOUS <br /> <br />___ E Eachswimming pool(bonding) (? $ 30 00 <br /> <br /> ReinspeStion Fee (il $ 20 00 <br /> STATE SURCHARGE <br /> <br /> INVESTIGATION FEE <br /> FLEET SIJROHARGE <br /> <br />I agree to ~'~ake the electrical Installation accor to t submitted pla pe s: the laws of the $tste of Orego~ and the Ordinances of Marion County <br /> ~~ Job No ~ <br />~ HOMEOWNER8 - I hereby Certify thst I am the owner of the prope~y described above[~t which location I propose to make 8n electrical installation for <br /> <br /> <br />