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Received <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator 81rig, NO. 225 <br /> 220 High Street NE <br /> <br /> Salem, Oregot~ 97301 <br /> <br /> Phone 588-5147 <br /> Code-A-Phone 4:S0 EM. - 8:00 A.M. <br /> <br />ELECTRICAL PERMIT APPLICATION : ~,., ,' ,~, <br /> <br /> Phone: Mailing Address: <br /> <br />.'oh'×are.s: S,te Ne.; street: . <br /> <br />~ ....... Phone, Add <br /> <br />Electrical Comractor's No, ', Home ~uilder~ Registration No,: <br /> Commemia[ <br />Electrician~No,; Building;-----,,~;J~ ~,I Alteration~ Relocation <br /> <br /> No. RESIDENTIAL <br />__ Residence wiring lessthan 1000 sq. ft ................................. @ $ 50.00 <br />__ Residencewiringlessthan2000sq, ft ................................. £05 75,00 <br /> Residence wiring over 2000 sq, ft .................................... @ $ 105,00 <br />____ Electric heat installation in existing residence ........................... @ $ 30,00 <br /> SERVICES <br />~,./__ Temporary ConstruCtion Service ..................................... @ $ 30.00 <br />__ Service change only In an existing residence ........................... @ $ 30.00 <br />Commercial or Industrial: <br />__ Service notover 100amperes. ...................................... @ $ 45,00 <br />............ Service over 100 amperes but not more then 200 amperes ................. @ $ 70,00 <br />__ Servlceovar200amperesbutnotmorethan400amperes ................. @$ 100,00 <br />__, Service over 4OO emperes b~t net mere than 6OO amperes ................. @ $ 150,00 <br />__ Service over 800 amperes ......................................... @ $ 200,00 <br />....... Service over 600 volts ............................................. Ua) $ 450.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relocation of Distribution Feeders: <br />__ Not morethan 100amperes ........................................ @ $ 25.00 <br />__ Over 100 amperes but not more than ~00 amperes ....................... @ $ 40.00 <br />__ Over200arnperesbutnotmorethan400amperes ....................... @$ 70,00 <br />__ Over400amperes ............................................... @ $ 85.00 <br />__ Feeder over 6oo volts ............................................. @$ 120.00 <br /> MISCELLANEOUS <br />__ A. Eachtrailerormobilehomespace(Se~viceequiprnent) .................. @$ 25.00 <br />__ S. Each supply for mobile home (Connection) ........................... @ $ ~5,00 <br />__ C, Bachltrigetioripump(Aaechamepshowinglocmion) ..................... @$ 00,00 <br />__ D. Eachelectricsignoroutlinelighting ................................ @$ 30,00 <br />__ E. Each swimmlngpeol(bonding) ................................... @ $ 30,00 <br /> BRANCH CIRCUITS <br />__ Onenewcircuit;alterationorextension ............................... ~$ 20.00 <br />__ Twoormorenewcimuits;alteretionsorextensJons ....................... ~-,$ 30.00 <br />__ Other (as per NEC and Building Official) ......................................... <br />__ On-Site Technical Review (apply directly at Marion County only) ...................... <br />__ industrial P]ant Inspection (apply directly at Marion County only) ...................... <br />__ Reinspection Fee ................................................ @ $ 20.00 <br /> FEE <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION ~ ~.~ PLAN REVIEW FEE <br />with the indicated fee. --~' FLEET SURCHARGE <br /> <br /> TOTAL <br /> <br /> ~,~// <br />[~ HOMEOWNERS ~l hereby certify that I am theowner of the properly descrlbed~aO~e, et w~,~c/tlon I prepose to ~ake an electrlcal installetlon for <br /> my own use and this property is not being constructed for s~le, lease or renL/ % / / ~ <br /> <br /> / <br />~ev. ~ ~ <br /> <br /> <br />