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Received By_ <br />Date:: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator Bidg,, No, 225 <br /> 220 High Stf~eet NE <br /> Salem~ Oregon 97301 <br /> <br /> Phone 588-5147 <br /> Code-A. Phone 4;30 P.M. - 8;00 A.M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br /> Phone Mailing Address <br /> Site No ;; Cross Street;: <br /> <br />Job Add{es~ <br /> <br />Supervising <br />Electrician's No:: <br /> <br />Phoee <br /> <br />Address <br /> <br />Address:: <br /> <br />Home BuildeCs Registration NO:: <br /> <br />Useof J Residential ~[t New <br />Building J Commercial []Alteration [] <br /> <br />Addition <br />Relocation <br /> <br />Occupancy <br />Change <br /> <br /> No, RESIDENTIAL <br /> ____ Residencewiringlessthanl000sq ft ~$ 5000 <br /> ___J_. Residencewiringlessthan 2000sq ft (¢~ $ 75 00 <br /> __ Residence wiring over 2000 sq ft ...... ~/$ 10500 <br /> __ Electric heat installation in existing residence (~ $ 30,00 <br /> SERVICES <br /> __ Temporary Construction Service (~ $ $0 00 <br />__ Service change only in an existing residence (¢ $ 30 00 <br /> Comme~clal or Industrial:: <br />__ Servicenot over 100 amperes $ 4500 __ <br />..... Service over 100 amperes but not more than 200 amperes ...... ('~ $ 70 00 <br />__ Servieeover200amperesbutnotmorethan400amperes (¢,$ 10000 <br />__ Serviceover400emperesbutnotmorethan600amparas .... q~$ 15000 <br />__ Serviceover600amperes (i~$ 20000 <br />__ Serviceover600volts (~¢ $ 450,00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />li~stallation of Alterations Or Relocation of Distribution Feeders:: <br />Not more than 100 amperes ~j$ 2500 <br />__ Overl00amperesbutnotmorethan200amperes ~$ 40,00 <br />__ Over200amperesbutnotmorethan400amperes (,~$ 7000 <br />___ Over4-00amperes ¢~$ 8500 <br />-- Feederover600volts ('d~ $ 12000 <br /> MISCELLANEOUS <br />__ A EachtrailerormobilehomespacetSer¢iceequiprneml .... (~i~$ <br />B Each supply for mobile home Conneotionl ('_~' $ <br />__ C Baohirrigationpemp(Atta¢~amapsl~oc~inglocation} f~f'$ <br />__ D Each electric sign or outline lighting (~( $ 30 00 <br />...... E Each swimming pool bonding) ('_~ $ 30 00 <br /> BRANCH CIRCUITS <br />__ Onenewcircuit elteretionore×tension (i~ $ 2000 <br />__,. Twoormorenewsircuits alterationsorextensions (ii',$ 3000 <br />Other (ss per NEC and Budding Official) <br />__ On-Site Technical Review ~tpply directly at Mar On County on y) <br />Industnal Plant inspection (apply directly at M~trion County only) <br />__ Retnsoection Fee ~i $ ~000 <br /> FEE <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> <br />25 00 <br />~5,00 <br />3000 <br /> <br /> ?~, cz> <br /> <br /> with the indicated fee INVESTIGATION FEE __ <br /> FLEET SURCHARGE $ ..... <br /> TOTAL <br /> <br />I agree to make the electrical installabon aooordlt~g d ands lC e laws of the State of Oregon 8nd the Ordlnanoe~ of Marion Count~ <br /> <br />[] HOMEOWNERS - I hereby certify that I am the owner of the property described above= at which location I propose to make an electrical installation for <br /> my own use and this property is not being constructed for sale= Pease or rent <br /> <br />SIGNATURE 0~' APPLICANT <br /> <br /> <br />