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Received By <br /> <br />MARION COUNTY BUILDING iNSPECTION <br />Senator Bldg. NO,, 225 <br />220 High Street NE <br /> Salem~ Oregon 97301 <br /> <br /> Phone 583-5147 <br /> Code-A.Phone 4::30 RM. - 8:00 A.M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />/----~¢.,¢_~, Phone';: Mailing Address:: <br />¢ Phone;; Addres~'~ ............. <br />lan Phone;; Address <br /> <br />r's NO -~ome Builder~ Registration No,,; ........... <br /> <br />.... Useof Residenti'[I ~ New ~ Addition ~ Occupancy <br />Building Commercial ~ Alteration ~ Relocation ~ Change ~ <br /> <br />g E]ecfnoian <br /> <br />Electrical Contr~ <br /> <br />Supervising <br />Electrician's No <br /> <br /> No. RESIDENTIAL <br />___ Residence wiring less than 1000 sq ft ........ ~ $ <br />_ / Residence wiring less than 2000 sq ft .............. @ $ <br />___ Residence wiring over 2000 sq ft ....... ~:, $ <br />__ Electdc heat installation in existing residence <br /> SERVICES <br /> Temporery Construction Service .... ~$ 3000 <br />__ Service change on[yin an existing residence ..... ¢~ $ 30 00 <br /> Commercial or Induatrlal: <br />__ Service not over 100 amperes ............ ((x~ $ 45 00 <br /> Service over 100 amperes but not more than 200 amperes (-¢ $ 70 00 <br />__ Serviceover200amperesbutnotmorethan400amperes £d¢ $ 10000 <br />__ Serviceover400amperesbutnotmorethan600amperes .......... @$ 150.00 <br />......... Service over 600 amperes <br />__ Service over 600 volts .... ~ $ 45000 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br />__ Not morethan 100amperes ~_i' $ 2500 <br />__ Overl00amperesbutnotmorethan200amperes ~'~'$ 4000 <br />__ Over 200 amperes but not more than 400 amperes ~ $ 70 00 <br />__ Over400amperes ~, $ 8500 <br />..... Feeder over 600 volts ~=$ 1~000 <br /> MISCELLANEOUS <br />__ A Each trailer or mobile home space (8ervt~eequlpment) ~h $ 25 00 <br />....... B Each supply for mobile home (Connection) ~,-, $ 25 00 __ <br />__ C Eachirrigatlon pump {Attach a map showinglocation) ....... g~' $ 3000 <br />__ D Eachelectricsignorougieelighting (_-!$ 0000 <br />__ E Each swimming pool (bonding) .... ('¢ $ 30,00 <br /> BRANCH CIRCUITS <br />........ One new circuit; alteration or extension .... (¢~' $ 20 00 <br />__ Two or more new cimuits; alterations or extensions ~' $ 3000 <br />....... Other (as per NEC and Building Official) <br />__ On-Silo Technical Review (apply directly at Marion County only) <br />.... industrial Plant Inspection (apply directly at Marion County only) <br />__ Reinspection Fee ~ $ 20 00 <br /> <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION PLAN REVIEW FEE __ <br /> <br /> 50 oo <br /> <br />10500 <br /> 30.00 <br /> <br /> · , · NVEST GAT ON FEE <br /> w~th the ~nd~cated fee, F ............. ~ ~"" ........ <br /> /// ~ . TOTAL $ ~,,2, ~ <br /> <br />5fGNATURE OF APPLICANT ~~1~¢~~' -- Job NO," <br /> <br />MC 15-g4 (Owne¢ d°ins his °we w°tk~ <br />Rev 12/88 <br /> <br /> <br />