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Received By: Oats'. MARION COUN~ BUILDING INSPECTION Senator BIcJg. NO. 229 ~20 High l~.t rear NE Salem, Oregon 97301 Phone S8P.~147 Code-A. Phone 4:S0 RM., 8:00 A.M. ELECTRICAL PERMIT APPLICATION Phone; .... Ma~g Address: o, Phone: Address: . ~ Phone: [ r Add~; ~ r ,,; Home ~uilder% Registration No.: '~"Us~of Residential ~ New ~ 0 Addition ~,% Building: Commemlal ~ Alteration ~ Relocation Job Address; Electrical Firm: Supervising Electrician: Elec~[/~al[~}fitrastor~ No,: Supervising Electrician's NO,,'_C~..~ ~ No. RESIDENTIAL Residence wiring leas than 1000 sq. fi ................................. ~ $ ,50,00 '-T Residence wiring less than 2000 aq, ft ................................. C~) $ 75.00 ___ Residence wiring ever 2000 aq, ff .................................... @ $ 105.00 ...... Electric heat installation in existing residence ........................... (,~ $ 30.00 SERVICES Temporary Conatr~ctlon Service ..................................... @ $ 30.~0 __.__ Servicechangeonlyinane×istingrasidence ........................... @$ 30,00 Commercial or Industrial: __._ Service not ever 100 amperes ....................................... ®~ $ 45,00 ,,, Service over 100 amperes but not more than 200 amperes ................. C~$ 70,oo __ Sarviceover200amperasbutnotmorethan400arnperas ................. ~$ 100.00 __ Service over 400 amperes but not more than 600 amperes ................. Cg $ 150.00 ...... Servlce over 600 amperes ......................................... @$ 200,00 · Sarvlceover600v01ts ............................................. ~) $ 450.00 COMMERCIAL AND INDUSTRIAL FEEDERS Installation of Alterations or Relocation of Distribution Feeders: __ Not more than 100amperes ........................................ C¢$ ..... Over 100 Amperes but not more than 200 amperes ....................... (~ $ 40.00 ____ Over200amperesbutnctmorethen400amperea ....................... ~.~$ 70,00 ,,, Over 400 amperes ............................................... ~ $ gO.00 __ Feederover600volts ............................................. Cq~$ 120,00 MISCELLANEOUS __, A. Each trailer er mobile home spa. ce (~e~vice equipment~ .................. ~ $ 25.00 __ B, Each a~pply for mobile home/Cot3r~eotion) ........................... ~ $ 25.00 __ C, EachffrigatJonpump/Aaschamapshowinglocation) ..................... ~?$ 30.00 ___, D. Each electric sign or outline lighti~Ig ................................ ~ $ 30.00 .... E, Eachswimmingpool(bonding) ................................... ~p$ .30,00 BRANCH CIRCUITS One new circuit; aiteratien or extension ............................... ~.z~$ 20,00 T'~O or more new circuits; ~terationa or extensions ....................... @ $ 30.00 __ Other (as per NEC and Buildlng Official) ......................................... __ On-Site Technical Review (apply directly at Marion County only) ...................... __ Induatrlal Plant Inspection (apply directly at Marion County only) ...................... ___ Rainspastion Fee ................................................ ('?~ $ 20.00 FEE STATE SURCHARGE Please return COMPLETE APPLICATION PLAN REVIEW FEE with the indicated fee. INVESTIGATION FEE FLEET SURCHARGE TOTAL ~ agree to make the electrical i~lstallatlo~l according to the submtged plans and specifications, the laws of the State of Orego~ and the Ordinances of Marion County. ~,~GNATURE OF APPLICANT~ 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 my own uae and this property is net being construCted for sale, lease or rent. ~ ~IGNATURE OF APPLICANT:.__ MC 15-84 (Ownel doing his own Rev t2/88