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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 S88-a147 <br /> <br />,Job Address: <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Phone: <br /> <br />Mailing Address: <br /> <br />Site No,; Cross Street: <br />Phone: Address; <br /> <br />Supervising Electrician; Phone: Addreaa; <br /> <br />Electrical Contractor's Ne.: Home Suilder's Registration No.: <br /> <br />Supervising I Useof Residential ~ New [] <br />Electrician's No.: k Building: Commercial [] Alteration [] <br /> <br /> No. RESIDENTIAL <br /> ..... Residence wiring less then 1000 sq. ft ................................. ¢i~ $ <br /> ~/_ Residence wiring less than 2000 sq, ft ................................. ('d) $ <br /> Residence wiring over 2000 sq. ft .................................... ('~i~ $ <br /> <br /> SERVICES <br /> ...... TemporaryConstruction Service ..................................... ~.¢~ $ 30.00 <br /> Service change only in an existing residence ........................... (~$ 30,00 <br /> Commercial or Industrial: <br /> ....... Service net over 100 amperes ....................................... (~(~ $ 45,00 <br /> __ Service over 100 amperes but not more then 200 amperes ......... &} $ 70,00 <br /> Service over 200 amperes but not more than 400 amperes ................. (a} $ 100.00 <br /> ___ Servloe over 400 amperes but not more than 600 amperes ................. (~ci~ $ 150.00 <br /> ___ Service over 600 amperes ......................................... (~s $ ~00,00 <br /> ........... Service over 800 volts ............................................. (¢()$ 450,00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation Of Alterations or Relocation of Distribution Feeders: <br /> Net mere than 100 amperes ........................................ ~i; $ 25,00 <br /> ...... Over 100 amperes but net more than go0 amperes ....................... (-~$ 40,00 <br /> ...... Over 200 amperes but not more than 400 amperes ....................... (~:~ $ 70.00 <br /> Over4O0amperes ............................................... 8~/$ 8§.00 __ <br /> Feederover600volts ............................................. ¢~ $ 120,00 <br /> MISCELLANEOUS <br /> A. Each trailer er mobile home space (Sorvioe equipment) .................. ¢.~ $ 25.00 <br /> __ B, EachsupplyfermObilehome(Connection) ........................... (-¢$ 25.00 <br /> ..... C. EachirdgatJonpump(AttaohamapsSowinglecation) ..................... ~$ 30,00 <br /> __ D, Eachelectricsignoroutlinelighting ................................ (~/~$ S0.00 __ <br /> E. Each swimming pool(bonding) ................................... ~i/$ 30,00 <br /> BRANCH CIRCUITS <br /> ....... One new 01rouit; alteration or extension .............................. ~0 $ 20,00 <br /> .... Two Or more new circuits; alterationsor extensions ....................... (~i' $ 30.00 __ <br /> __ Other as per NEC and Building Official) ........................................ <br /> .... On-Site Technical Review (apgy directly at Marion County only) ...................... <br /> <br /> ..... Reinspection Fee ................................................ (!,, $ 20.00 <br /> FEE <br /> STATE SURCHARGE <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE __ <br /> <br />Addition ~3 Occupancy <br />Relocation [] Change <br /> <br /> 50,00 <br />75.00 ~_~,c~ <br />105,00 <br /> <br /> with the indicated fee. INVESTIGATION FEE <br /> FLEET SURCHARGE ~ <br />  TOTAL $ ~"¢ ~' ¢ <br /> <br />I a!'~ree ~o make the electrical i~stallatio co ng to the ~ ed p d specifications, the laws of the S~ate of Oregon and the Ordif~anoes of Marion County, <br />SIGNATUREOFAPPLICANT: ~70}D ~O; <br /> <br />L_I HOMEOWNERS - I hereby certify that I am the owner of the property described above, at which location J 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 /> (Owner doln9 his own work) <br />MC 15-34 % <br />Rev. 12/88 ~ <br /> <br /> <br />