Laserfiche WebLink
Received By::~ <br /> <br />MARION COUNTY BUILDING INSPECTION <br />Senetor EId$, No 225 <br />220 High Street NE <br /> Salem~ Oregon 97301 <br /> <br /> Phone $88-$147 <br /> Code-A-Phone 4::30 EM- - 8:00 A.M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />~wner Phone' Mailing Address <br />Job Address Site NO Cross Street <br /> <br />Electrisal Contrector~s No Home Bu[Ider~ Registration No <br /> <br />~up~%vising j Useof .... J~esidenti~l. g J New ~ Addition "b O~upanoy <br /> <br />Electrician~ Ne Building Oornmercia[ [] Alteration [] <br /> <br /> No,, RESIDENTIAL <br /> __ Residence wiring lessthan 1000 sq ft @ $ 5000 <br /> /,.. Residencewiring lessthan 2000 sq ft ~ $ 7500 <br /> __ Residence wiring over 2000 sq, ft @ $ 105,00 <br /> .......... Electric heat installabon in existing residence @ $ 3000 <br /> SERVICES <br /> __ Temporary Construction Service @ $ 30 00 <br /> Service change only in an existing residence 6'_~ $ 30 00 <br /> Commercial or Industriah <br /> ...... Service not over 100 amperes ~$ 4500 <br /> __ Servlceoverl00amperesbutnotmorethan200arnperes @$ 70,00 <br /> __ Serviceover200amperesbutnotmorethan400e,mperes @75 100,00 <br /> __ Serviceover400amperesbutnotmorethan600amperes ..... ~¢$ 15000 <br /> __ ServiceeverG0oe,mperes @ $ 200,00 <br /> ..... Service over 600 volts ............ C_reS 45000 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of AIteratione or Reloce,tion of Distribution Feeders: <br /> __ Not merethan 100 amperes ........ @ $ 25 00 <br /> __ Over 100 amperes but not more than goo amperes @ $ 40,00 <br /> ....... Over 200 amperes but not more than 400 amperes .... @$ 7000 <br /> __ Over400amperes @$ 8500 <br /> .... Feeder over 600 volts ®~$ 120,00 <br /> MISCELLANEOUS <br /> __ A Be, Ch trailer or mobile home spa,ce (Serviceequipment) @ $ 25 00 <br /> __ B Eachsupplyfor mobile home(Connection) .................. ~' $ 2500 <br /> __ C Cachirdgatiospsmp(AttachamapshowinglocaS~n) (b~$ 3000 <br /> D Each electric sign or outlinelighting ......... @ $ 3000 <br /> __ E Eachswlmming pool(bonding) ¢) $ 30 00 <br /> BRANCH CIRCUITS <br /> __ One new circuiL alteration or extension (~' $ 2000 <br /> .... Two or more new circuits:: alterations or extensions {A $ 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 Count~ only) <br /> __ Reinspection Fee (_<~ $ 20 00 <br /> <br /> STATE SURCHARGE <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> <br />Relocation [] Change Lq <br /> <br /> with the indicated fee INVESTIGATION FEE <br /> FLEET SURCHARGE <br /> TOTAL $ <br /> <br />E.-I 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 lease or rent <br /> <br />SIGNATURE OF APPLICANT <br /> <br />MO 15-34 IOwner doing his own work) <br />Rev 12~88 <br /> <br /> <br />