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Received By:: <br /> <br />Date <br /> <br />MARION COUNTY BUILDING INSPECTION <br />Senator Bld9,, NO. 225 <br />220 High Street NE <br /> Salern~ Oregon 97301 <br /> <br /> Phone 588-5147 <br /> Code-A-Phone 4:3s RM,,- s::00 A.M, <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Owner <br /> <br /> Phone:: Mailing Address:: <br />  Phone Address:: <br />etrician:: Phone:; Address;: <br /> <br />actor~ No:: Home Builder~ Registration NO:: <br /> <br />Electrical Contractor's No:: <br /> <br />Supervising <br />Electriclan=s No, <br /> <br /> No. RESIDENTIAL <br /> Residence wiring less than 1000 sq ft @ $ 5000 <br /> .~..Z- Residence wiring less than ;~000 sg. ft .................. @ $ 7500 '~.~'~ <br /> __ Residence wiring over 2000 sq ft @ $ 10500 <br /> __ Electricheatinstallationinexistingresidence @$ 3000 <br /> SERVICES <br /> __ Temporary Construction Service {',~ $ 30.00 <br /> __ Service change onlyin an existing residence @ $ 30.00 <br /> Commercial or Industrial: <br /> __ Service not over 100 amperes (z~ $ 4500 <br /> __ Service over 100 amperes but not more than 20O amperes ('~ $ 7000 <br /> __ Service over 200 amperes but net more than 400 amperes ¢¢ $ 100..00 <br /> __ Serviceover400amperesbutnotmorethan600amperes @ $ 15000 <br /> ..... Service over 600 amperes @ $ 200 00 <br /> __ Ser¥iceover600volts @ $ 450.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> installation of Alterations or Relocation of Distribution Feeders:: <br /> .... Not more than 100 amperes {',¢ $ 2500 <br /> __ Over 100 amperes but not more than 200 amperes ('_~ $ 4000 <br /> __ Over200amperesbutnotmerethan400amperes (c~$ 70,00 <br /> Over 400 amperes ....... ¢;$ 8500 <br /> .___ Feederover600volts ....... ¢~= $ 12000 <br /> MISCELLANEOUS <br /> __ A EachtrailerormobJlehomespecetServiceequlpment) .... (cbs 25,00 <br /> __ B, Each supply for mobile home (Connection) ....... ¢~' $ 2500 <br /> __ C Eechirrigationpump(AttachamapshowJnglocation) PS .30,00 <br /> __ D Each eiectric sign oroutlinelighting ...... ~.¢~ $ @000 <br /> __ E Each swimming pool(bonding) (~ $ 30,00 __ <br /> BRANCH CIRCUITS <br /> .... One new cireuit; alteration or extension ~'$ 20.00 <br /> __ Twoormorenewcircuits;alterationsorextensions ~$ 3000 <br /> __ Other (es per NEC and Building Official) <br /> __ On-Site Technical Review (apply directly at Marion County only) <br /> __ Industrial Plant Inspection (apply directly at Medea County only) ......... <br /> ....... Reinspection Fee ~ $ 2000 <br /> FEE <br /> STATE SURCHARGE <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> with the indicated fee INVESTIGATION FEE __ <br /> FLEET SURCHARGE <br /> /~ TOTAL <br /> <br />[] 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 /> <br />