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Received By: __ <br /> <br />Date: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator Side. NO. 225 <br /> 220 High Street NE <br /> -=" Salem O¢~gon 97381 <br /> <br /> Phone 588.5147 <br /> Code-A-Phone 4:30 P.M.- 8:00 A.M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Phone: <br /> <br />Mailing Address: <br /> <br />Site No.: Cross Street: <br /> <br />Phons: <br /> <br />Address: <br /> <br />Address; <br /> <br />ElectScal Contractor's No,: <br /> <br />Use of Residential ~- New [] Addition [~ Occupancy <br />Building: Commercial [] Alteration [] Relocation r"l Change [] <br /> <br /> No. RESIDENTIAL <br /> ____ Residence wiring less than 1000 srs, fl ................................. ~.;! $ 50.00 <br /> Residence wiring less than 2000 sq, ft ................................. (~) $ 75,00 .................... <br /> __ Residence wiring over 2000 sq. ft .................................... ('¢ $ 105,00 <br /> __ E]ectricheatinstallationine×istingresidence ........................... &)$ 30.00 <br /> SERVICES <br /> __ TemporaryConstruction Service ..................................... (~p $ 30.00 <br /> Service change only in an existing residence ........................... 0)$ 30,00 . '~'4~_~.¢E,~ ....................... <br /> Commercial or Industrial: <br /> __ Servicenotoverl00amperes ....................................... ~i)$ 45.00 .............. <br /> Service over 100 amperes but not more than 200 amperes ................. (~ $ 70,00 <br /> __ Service over 200 amperes but not more than 400 amperes ................. (ii~ $ 100.00 <br /> ..... Service over 400 smpere$ but not more than 600 amperes ................. (~;' $ 150,00 <br /> __ Service over 600 amperes ......................................... ~ $ 200.00 <br /> ___ Service over600volls ............................................. (¢Z¢ $ 450,00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br /> __ Not more then lOO ~mperes ........................................ ~.h$ 25.00 <br /> ____ Over 100amperes but not more than 200 amperes ....................... gi$ 40,00 <br /> .... Over 200 amperes but not more than 400 amperes ....................... ~i'$ 70.00 <br /> __ Over400amperes ............................................... (ti! $ 85,00 <br /> Feedsrover 600volts ............................................. (i? $ 120.00 <br /> MISCELLANEOUS <br /> ___, A, Each trailer Or mobile home space (Service equipment) .................. (~ $ 25.00 <br /> .... B. Each supply for mobile home (Connection) ........................... ~ $ 25,00 <br /> C. Each irrigation pump (Attach 8 m8p s~owin9 rotation) ..................... gz $ 30,00 <br /> ...... D. Eachelectricsignoreutllnelighting ................................ (pS 30.00 <br /> ___ E, Each swimming pool(bonding) ................................... (~ $ 30.00 <br /> IBRANCH CIRCUITS <br /> -- OnenewcircuJt;alteratienorextension ............................... (s~$ 20.00 <br /> Twoormorenewslrcuits;alteralionsorexlenslons ....................... ((i~$ 30.00 __ <br /> Other (as per NEC and Buildin9 Official) ......................................... <br /> -- On-Site Technical Revlew (apply directly at Marion County only) ...................... <br /> ......... Industrial Ptant Inspection (apply dlrectJy at Marion County only) ...................... <br /> __ Reinspection Fee ................................................ ~i' $ 20.00 <br /> FEE <br /> STATE SURCHARGE <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> INVESTIGATION FEE <br /> with the indicated fee. .,~".~.P.~_ ~,A~JP~.EET SURCHARGE <br /> <br />18grad to make the electrical in--ine to the sub~t~ions,~ 18w$ of the Stero of OtegoCCand the Ordinances of Msrion County, <br />SIGNATURE OFAPPLICANT~'~¢:~¢-'~'.~,~_¢~-~ _ ~~'/~'/'' ~--/~'~7~/'"¢~'*~J~'"",~e,,~""~'~ //-~.'z..'l~ ~-Ob ~'Ot <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 />81GNATURE OF APPLICANT: <br /> <br />MO 15-34 (Owner doing his own wor~) <br />Bev, 12/88 <br /> <br /> <br />