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Received By <br />Date <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Sen~or Bldg. No,, 225 <br /> 220 High Street NE <br /> Salem, Oregon 97301 <br /> <br /> Peone 588-5147 <br /> Code-A-Paone 4=30 EM, - 8:00 A,M, <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Job Address:: <br /> <br />Phone <br /> <br />Mailing Address <br /> <br />Site No :: Cross Street <br /> <br />Address;: <br /> /L~o~_ <br /> <br />Addition [~ Occupancy <br />Relocation [] Change <br /> <br />Electrical Firm Phone <br />Supervisino Electrician Phone:: Address:: <br /> <br />Electrical ContractoCs No Home Builder~ Registration NO:: <br /> <br />Supervising Use of Residential ~ New ~ <br />E ectr oan's NO ¢ - Building:: Commercial ~ Alteration ~ <br /> <br /> No, RESIDENTIAL <br /> Residence wiring less than 1000 sqft ........ (.b) $ 50 00 <br /> ~'- Residencewiring less than 3000 sqft @ $ 75 00 <br /> Residence wiring over 2000 sqft .... (4 $ 10500 <br /> EJectric heat installation in existing residence .... ~) $ 30,00 <br /> SERVICES <br /> .... TemporaryConstruction Service r(~' $ 30 00 __ <br /> -- ServicechangeanJyinene×istingresidence (¢~$ 30,00 <br /> Commercial Or Industrial: <br /> __ Service not over 100 amperes @ $ 45 00 <br /> -- Service over l00 amperes but not more than 200 amperes (~$ 7000 <br /> ...... Service over 200 amperes but not more than 400 amperes ~:,$ 10000 <br /> __ Service over 400 amperes but not more than 600 amperes ~2 $ 150 00 <br /> Service ever 600 amperes ......... (E, $ 200,00 <br /> ___ Service over 600 volts ~¢ $ 450 00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br /> ___ Not more than l00 amperes 0/$ 2500 __ <br />.... Over 100 amperes but not more than 200 amperes (_~: $ 4000 <br />__ Over 200 amperes Put not morethan 400 amperes ('d~ $ 70 O0 __ <br />_ _ Over400 amperes ¢~ $ 85 O0 <br />__ FeederoverSOOeolts {i~ $ 12000 <br /> MISCELLANEOUS <br /> A Baohtrailerormobilehomespace(Ser~iceesuipment) ~,$ 2500 __ <br />__ B Each supply for mobile hometConnectlon) (~8 $ 25 00 <br />...... C Eachirrigation pump (Attach a map ~howinalocatiOn) (~i~ $ 3000 <br />.... D Each electricsign oroutlinelighting C~' $ 3000 __ <br />__ E Eachswlmming pool(bondingl (~: $ 30 00 <br /> BRANCH CIRCUITS <br /> One new sircuit alterationerextension a'$ 2000 __ <br />___ Twoormorenewcircu s:a eratonsoraxte~sions ~i: $ ~000 <br />__ Other fas per NBC and Building Official) <br />.... On-Site Technical Review fapply directly at Marion County only) <br />__ Industrial Plant Inspection (apply directly at M~rion County only) <br />Reinspection Fee (?i~ $ 20 00 __ <br /> FEE <br /> STATE SURCHARGE __ <br />Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> <br /> w~th the indicated fee INVESTIGATION FEE <br /> FLEET SURCHARGE .... <br /> TOTAL $ ~.~ <br />I agree to make the electrical Installaho~ to~s,/u~od p~p~atio~s the laws of the State of Oregon and the Ordtnanceg on <br /> <br /> <br />