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Received By, __ <br /> <br /> MARION COUNTY BUILDING INSPECTION <br /> ~enator Bldg NO. 222 <br /> 2g0 High Street NE <br /> <br /> ELECTRICAL PERMIT APPLICATION BUILDING <br /> <br />Job Address:: Site No :: Cross Street:: <br /> <br />Electrical ContractoKs No,:; Home Builder~ Registration No, <br /> <br />Supervising ' Use of Residential ~ New ~ Addition ~ Occupancy <br />Ele~ricien~ NO /~ Buildin~ Commercial ~ Alteration ~ Relocation ~ Change <br /> <br /> No, RESIDENTIAL <br /> __ Residence wiring lassthan 1000 sq,, ft .......... @ $ $000 <br /> __ Residencewiring lessthan 2000 sq ft ...... @ $ 50 00 <br /> __ Residence wiring over 2000 sg ft .............. ('a~ $ 7000 <br /> __ Electric heat installation in existing residence @ $ 20 00 <br /> SERVICES <br /> .... Temporary Construction Service ............... (is $ 20.00 <br /> __ ServicechangeonlyinanexistingresJdence @$ 2000 <br /> Commercial or Industrial: <br /> __ Servicenoteverl00amperes ...... @5 3000 __ <br /> .... Service over 100 amperes but not more than 200 amperes ........ @ $ 50,00 <br /> __ Service over 200 amperes but not more than 400 amperes ~:, $ 7000 <br /> __., Serviceover400amperesbutnotmorethan600amperes ........ CCC$ 10000 <br /> ____ Serviceover600ampores .................... CCC$ 130,00 <br /> __ ServiceoverS00volts ....... RS 30000 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> z~ Not more than lOO amperes ........ @S 2000 4..~.*~ <br /> __ Over lOO amperes but not more then 2OO amperes @$ 3000 <br /> __ Over gOO amperes but not mom than 400 amperes ('CC $ 5000 <br /> ...... Over 400 amperes @$ 6000 <br /> __ Feederover 600volts ~? $ 8000 <br /> MISCELLANEOUS <br /> __ A Eachtrailerormebileheme~pace{Serviceequipment) ..... @$ 2000 <br /> __ B Eachsupplyformobi[ehometOonnectton) ................ @$ 2000 <br /> ____ O Eachirrigationpump(Attachamspshowinglocatlon) @$ 20,00 <br /> __ D Each electric sign or outlinellghting ........ @ $ 2000 <br /> E Each residential swimming pool (&~ $ 20 00 <br /> BRANCH CIRCUITS <br /> __ One new circui , al era onorextenson , (~$ 1500 <br /> __(...~ Two or more new circuits, alterations or extensions ~.CC $ 20 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 /> ..... Reinspection Fee ccc $ 1500 <br /> <br /> STATE SURCHARGE ,.~--. <br /> Please return COMPLETE APPLICATION ,?~\ PLAN REVIEW FEE <br /> with the indicated fee ~*~.~/ INVESTIGATION F6E <br /> FLEET SURCHARGE Z'. <br /> TOTAL $ /~ '7° ,~C- .......... <br /> <br />I agree to make the electrical installation a~cordtng to the * bmitted lan8 and specifications, the taws of the State of Oregon and tho Ordinances of Marion County <br />SIGNATURE OF APPLIOANT ....... <br /> <br />~ HOMEOWNERS- [ hereby certify that I am the owner of the property described above= at wh ch ocs on propose to make an electrical inatallation for <br /> roy own use and this property is not being ccnstru~ed for sale, lease or rent <br /> <br />SIGNATURE OF APPLICANT <br /> <br />MC 15-34 <br />Rev 3/88 <br /> <br /> <br />