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Received Dy __ <br /> <br />MARION COUNTY BUILDING INSPECTION <br />Senator s~a~i. I~o. 225 <br />220 High Street NE <br /> Salem= Oregon 97301 <br /> <br /> ~ Phone 588-5147 <br /> ~ Code-A-Phone 4~30 P.M,, - 8~0S A M <br /> <br />Electrical Firm i / ~ <br /> p 'S' 9 Ele3tr' '~r~"' <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Phone <br /> <br />Mailing Address <br /> <br />Sits NO ;: Cross Street;; <br />Phone Address:: <br /> Address <br /> <br />'~ Contractorb NO, <br /> <br />Home Bulldogs RegistretiOh No,:: <br /> <br />Supervising Use of Residential C'I New [] Addition <br />Electrician's No Building Commercial [] Alteration [] Relocation <br /> <br />Occupancy <br />Change <br /> <br /> No. RESIDENTIAL <br />__ Residence wiring less than 1000 sq ft ...... @7 $ 5000 <br />_/__ Residence wiring less than 2000 sq ft ............ @ $ 75 00 <br />__ Residencewiringover2000sq ft ..... (~.$ 10500 <br />Ele3trlc heat installatio~l in existing residence ...... @ $ g0,00 <br /> SERVICES <br />___ Temporary C~nstruction Service @ $ 30~00 <br />.... Service change only in an existing residence .......... @$ $0,00 <br />Commercial or Industrial: <br />_ __ Service not over 100 amperes ....... @ $ 45 00 <br />__ Service aver t00 amperes but not more than 200 ampere3 (co $ 7000 <br />__ Service over 200 amperes but not more than 400 amperes @ $ 10000 <br />.... Service over 400 amperes but not more than 600 amperes @ $ 150 00 <br />__ Service over 600 amperes ..... (co $ 20000 __ <br />__ Serviceover~0Ovolts ......... (~¢$ 45000 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alteratlone or Relocation of Distribution Feeders; <br />,,__ Net more than 100 amperes ....... (¢__ $ 25 00 <br />__ Over 100 amperes but nm more than 200 amperes @ $ 4000 __ <br />__.. Over200emperesbutnotmorethan400amperes .... @$ 70,,00 <br />Over 400 amperes .......... C'¢ $ 85 00 __ <br />.... Feederover600volts @ $ 120,00 <br /> MISCELLANEOUS <br />____ A Eachtrailerormobilehomespace(Serviceequipment) .... @$ 25,,00 <br />__ B Each supply for mobile home (Connection) .... (~ $ 2500 <br />..... C Eachirrigatlonpump(Attach~m~p~howi~cc~tion) ..... @$ 30,00 <br />__ D Each electric sign or outlinelighting ~ $ 30 00 <br />E Each swimmingpool(bonding) @ $ 80,00 <br /> BRANCH CIRCUITS <br />__, One new circuit: aiteratie3 or extension @ $ 20 O0 <br />.... Two or more new circuits; alterations or extensions @ $ 30 00 <br /> Other (as per NEC and Building Official) <br />__ On-Site Technical Review (apply directly at Marion County only) <br />__ Industrial Plant Inspection (apply directly at Marion County only) <br /> <br /> STATE SURCHARGE <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> w~th the indicated fee,, INVESTIGATION FEE <br /> FLEET SURCHARGE ~ <br /> TOTAL __ <br />$1GNATUREOFAPPLiCANT ..//~.//_¢(_..~/~ .~"///_,'/..t~'/'./~.a/~..S~¢-.....- -~- ~ k.To]D ~TO; <br /> <br />SIGNATURE Of APPL CANT __ <br /> <br /> <br />