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Received By <br />Date <br /> <br />MARION COUNTY BUILDING INSPECTION <br />Senator Bldg. NO.. 225 <br />2~0 Hi,Ih Street NE <br /> Salem. Oregon 97301 <br /> <br /> Phone 5as-st47 <br /> Code-A-ehone $:30 PM.. - 8:80 A..M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Job Address:: <br /> <br /> 720 <br />Electrical Firm <br /> <br /> um vLZt¢ <br />/NC. <br /> <br />~-u~Electrician <br /> <br />Electrical Contractor's No <br /> <br />Superwsing Use of <br />Electrician's No 2373S Building <br /> <br />Phone:: <br /> <br />Site No. <br /> <br />37o-¢278 <br /> <br />Mailing Address:: <br /> <br />Cross Street;: <br /> <br />Addres~ <br />/606 S.E. <br /> <br /> Phone <br /> 37o :727 <br /> Home Builder's Registration NO <br /> <br />Re~iden~l ~ New ;[~ <br />Commercial [] [ Alteration [] <br /> <br />Address <br /> /606 Oa/ S.E., SaZem <br /> <br />Addition [] Occupancy <br />Relocation [] Change [] <br /> <br /> NO, RESIDENTIAL <br />____ Re$idencewiringlessthanl000sq ft .... Ca'.$ 5000 <br />__/ Residence wiring less then 2000 sq fl ..... {,~ $ 75 00 <br />__ Residence wiring over 2000 sq ft ...... ¢ $ 10500 <br />-- Electric heat installatien Jn existing residence ~2:.$ 3000 <br /> SERVICES <br />__ Temporary Conatrection Service Ca~ $ 30 00 <br />Service change only in an existing residence ~ $ 30 00 <br />Commercial or Industrial: <br />Service nOt over 100 amperes ....... &$ 450~ <br />~ Serviceoverl00amperesbutnolmorethan20Oamperes .... ¢~$ 7000 <br />Setwce over 200 amperes but not more than 400 ampere8 {&,$ 10000 <br />~ Service over 400 amperes but not more than 600 a~peres ({o $ 150 O0 <br />~ ServiceoverC00amperes ~)$ 20000 <br />.... Se~vme over 600 volts (8i) $ 45000 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relocation of Distribution Feeders: <br />~_ Not more than 100 amperes (r~: $ 25 O0 <br />Over 100 amperes but not more than ~00 ameere~ ge $ 4000 <br />__~ Over 200 smperes but not more than 400 amperes (~, $ 70,,00 <br />Over 400 amperes ~} $ 85 00 <br />~ Feeder over 600 vol~s ¢¢ $ 12000 <br /> MISCELLANEOUS <br />~ A Each trailer or mobile home space (Service equipment) & $ 25 00 <br />._~ B Each ~upplyfor mobile home(Oonneotion) ~ $ 2500 <br />~ C Each irrigation pump (Attach a map~howin91ooatlon~ & $ 30 00 <br />.. D Eachelectri~signorouglnelighting ((~ $ 3000 <br />E EA0h ~wimming pool{bonding) ~ $ 30 00 <br /> BRANCH CIRCUITS <br />~_ One new circuit;alteration or extension ~d~ $ 20 00 <br />Two Or mere new cimuits: alteyafio~¢ Or extensions (~: $ 30 00 <br />~ Other (as per NEC and Bufl~ing Official) <br />~ On-Site Technical Review (apply directly at Marion County only) <br />~_ Industrial Plant Inspection (apply directly at Marion County 0nly} <br />~ Retnspection Fee (6: $ 2o OD <br /> FEE <br /> STATE SURCHARGE <br /> <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> INVESTIGATION FEE <br /> with the indicated fee FLEET SURCHARGE <br /> __ ,.~ ~ ~ ~ TOTAL ~'-' <br /> <br /> { /~ IZ /~ I ~ Job NO <br /> <br />~ HOMEOWNERS ~ I hereby certify that I am the owner of the prope~y described above at which Iooatio~ I propose to make an electrical installation for <br /> my own use and h s proper~ s no being cons ruoted for sale lease or rent <br /> <br /> <br />