Laserfiche WebLink
Receieed By <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator Bidg,, No,, 225 <br /> 2~0 High Btreet NE <br /> gelem= Oregon 97301 <br /> <br /> Phone 588-e147 <br /> Coae-A-Pllone 4:30 PM. - 8:00 A.M <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Electrical Fir~r~ <br /> <br />St~pervising Electrician <br /> <br />Electrical Contractor's NO <br /> <br />Phoee:; <br /> <br />Mailing Address <br /> <br /> Address <br />Phone:: Address <br /> <br />Supervising <br /> <br />Rome Builder's Registration No <br /> <br />l Use of Residential [] New <br /> Building;: Commercial [] Alteration <br /> <br />Addition ~ Occup~[n~/ ...... <br /> <br />Electrioian~ No <br /> <br />Relocation F-I Change Fq <br /> <br /> No, RESIDENTIAL <br /> __ Residence wiring lessthan 1000 sq ft ((~' $ 50 00 <br /> / Residence wiring less than 2000 sq ft (¢ $ 75 00 <br /> .... Residence wiring over 2000 sq ft ~.~ $ 10500 <br /> ..__ Electric heat installation in existing residence ~:, $ g000 __ <br /> SERVICES <br /> ___ TemporaryConstructionService ~{~'$ 3000 <br /> ____ Service change onlyin an existing residence (.~ $ 30 00 <br /> Commercial or Indeetriah <br /> __ Servioenotoverl00amperes ~$ 4500 .... <br /> Service over 100 amperes but not more than 200 amperes (d) $ 70 00 <br /> __ Service over 200 amperes but not more than 4O0 amperes ~,*$ 10000 __ <br /> ....... Service over 400 amperes but not more than 600 amperes ('~$ 15000 <br /> ..... Service over 600 amperes ~,$ <br /> .... Service over 600 volts Cd~ $ 45000 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders; <br /> Not more than 100 amperes ® $ 25 00 <br /> ____ O~er l00 amperes but not more than 200 amperes ~$ 4000 <br />__ Over 200 amperes but not more than 400 amperes Os $ 70 00 <br />...... Over400amperes ¢~ $ 85 00 <br />._ Feederover600volts ~'$ 1~0,00 <br /> MISCELLANEOUS <br />____ A Each trailer or mobile home space fServiceequipment} (?~' $ 2~ 00 <br /> ..... B Each Supply for mobile home tConnection) ~ $ 25 00 __ <br /> C Each irrigatiOn pump Attachamapsh0wng OCa On r~¢$ 3000 <br />..... D Each electric sign or outline lighting (t~, $ 2000 <br />E Each swimming pool fbonding) (~, $ 30 00 <br /> BRANCH CIRCUITS <br />..... One new e~rcuit; alteration or extension ~ $ 20 00 <br />__ Two or more new circuits alterations or extensions ~' $ 3000 __ <br />.... Other (as per NEC and Building Official) <br />___ On-SiteTechnicelReview applydirectlyatMerionCeuntyoely <br /> Industrial Plant Inspection apply d~rec ly at Ma on Coun y on y} <br />__ Refnspection Fee (;4, $ 2000 <br /> FEE <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION PLAN REVIEW FEE __ <br /> <br /> with the indicated fee, INVESTIGATION FEE <br /> FLEET SURCHARGE .~,~'.. ' ..... <br /> <br /> I agree to mako tho electrical installation or t~o the subm' aris ioations the laws of the State of Oregon and tee Ordinances ef Marion County <br /> SIGNATURE OF APPUCANT ~To~o ~O: <br /> <br />LJ ROMEOWNERS - I hereby certdy that I am the owner of the property described above at which location [ propose to make an electrical installation for <br /> my own use and this property is not being cons ruc ed o sa e= ease or rent <br /> <br />SIGNATURE OF APPLICANT ~' <br /> <br /> <br />