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Received By_ <br />Date <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senato~ Bldg, NO, 225 <br /> 220 H~h St ree~ NE <br /> Salem, O~gon 97301 <br /> <br /> Phone <br /> Csde-A-Phone~;;3g RM, - 8=00 A,M,, <br /> <br /> ,, ELECTRICAL PERMIT APPLICATION <br /> <br />Owner ~~.~~ Phone:: Mailing Address <br />~-'~,ddre~s:: ~.-,~~ - ~v~..., "7'7¢/ . ..~ Siie No:: Cross Street <br /> <br />Electrical Firm Phone. Address <br /> <br />Supervising Use of Residential [] New [] <br /> <br />Addition ~ Occupancy <br />Relocation ~ Change <br /> <br /> No,, RESIDENTIAL <br /> Rea{dance wiring ~es~.than 1000 sq ft 6'_~ $ 5000 <br />.... Residence wiring less than 2000 sq ft .... CaT $ 75 00 <br /> ResidenCewiringovergOOOsq ft ..... ~)$ 10500 __ <br />__ Electricheatinatallationinexistingresidence ('~)$ 3000 <br />  SERVICES <br /> Temporary Construction Service ........... @ $ 30 00 <br /> Service change only in an existing residense (~ $ 3000 <br /> Commercial or Industrial: <br />___ Service not over 100 amperes ........ ~_~ $ 4,500 <br />ServiCeoverl00amperesbutnotmorethan200amperes .... ('¢$ ?0.00 __ <br />__ Service over 200 amperes Put not more than 400 amperes .... @ $ 100 00 <br />__ Service over 400 amperes but not more than 600 amperes .... da) $ 150 00 <br />.... Servlce over 600 amperes ....... @$ 20000 <br />__ Service over 600 volts .... (b~ $ 450 00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />InstallatloR of AlteratiOns or Relocation of Distribution Feeders: <br />__. Not more than l00 ampem$ .... (_-_~$ 2500 <br />___ Over 100 amperes but not more than 200 amperes (',~) $ 40 00 __ <br />__ Over ~00 amperes but nor more than 400 amperes @ $ 70 00 <br />__,~ O¥er400amperes @$ 85,00 __ <br />__ Feeder over 600volts @ $ 120 00 <br /> MISCELLANEOUS <br />.... A Eachtrailerormobilehomespace~Servl¢eequfpmenp C~)$ 2500 __ <br />.... B Each Supply for mobile home(Oonnectioro @ $ 25 og <br />__ C Eaohirrigatioflpump(Attaohamapshowir~glocetlon) @$ 3000 <br />~ D Each electric sign or outline lighting (cb $ 30,00 __ <br />E Each swimming pooJ(bondlng) ~, $ 0000 <br /> BRANCH CIRCUITS <br />, Onenewcimuit=alteretionorextension (~$ ~0..00 <br />Two or mo~e new tire,its: alterations or extensions @ $ 3000 <br />Other (as per NEC and Building Official) .... <br />.... On-Site Technical Review (apply direct~y at Marion Cot~ety on~y) <br /> <br /> _ Industrial Plant InspeCtion (apply directly at Marion County only~ <br /> _ Rei~spection ~ee /")/~.~ ~ ~' S ~o,o0 <br /> ' FEE <br /> <br /> Please return COMPLETE APPLICATION /%, ,¢,~ ~M ~ P~N REVIEWFEE <br /> with the indicated fee INVESTIGATION FEE <br /> FLEET SURCHARGE <br /> TOTAL ~ ' . -- <br /> <br />¢~ HOMEOWNERS-I hereby c~/8mthe ow,er of the ,~,erty described above=, at which location I pro,ose to make 8n electrical i,stallation for <br /> my own use and this property is not being constru¢ed for sale. Ieee or re~t <br />SIGNATURE OF APPLICANT _~ <br /> <br /> <br />