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Received By: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator Bldg. No. 225 <br /> ¢~;~0 High Btreet NE <br /> Salem, Oregon 97~01 <br /> <br /> Phone 588-5147 <br /> Code-A~Phone 4:30 P.M. - 8:00 A.M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Owner: MaiJ'i'ng Address: ........................ <br />Job Address: '' /,~. site ~o.~ Crc,, 'treat: <br />~loetdcal Firm: -- <br />Supe~Jsing Electrician: Phone; Address: <br /> <br />Eleot~'J~&l Contractor~ No,; .... Home Builder's Registration No'~': <br />Suparvising Use of Residential ~ New ~ 'Addition ~ Occupancy <br />Electrician's NO.: Building: Commercial ~ Alteration ~ Relocation ~ Change <br /> <br /> RESIDENTIAL <br />__ Residence wiring lessthan 1000sq. ft ................................. @ $ 50.00 <br />Residence wiring less than 2000 sd. ft ................................. @? $ 75.00 <br />__ Residencewiringover200Osq. ft .................................... @$ 105,00 <br />..... Electric heat installation in existing residence ........................... @ $ $0.00 <br /> SERVICES <br />.__ Temporary Construction Service ..................................... @ $ 80.00 <br />__ Service change only in an existing residence ........................... ~-¢. $ 30.00 <br />Comree~ial or Industrial: <br />__ Service not over 100ampere~ ....................................... @ $ 45.00 <br />__ Service over 100 amperes but not more than 200 amperes ................. @ $ 70.00 <br />Service over ;-~00 amperes but not more than 400 amperes ................. @$ 100.00 <br />__._ Serviceover400amperesbutnotmorethan6g0amperes ................. @ $ 150.00 __ <br />___ Servlceover600ampere$ ......................................... @ $ 200.00 <br />__ Servioeover600volts ............................................. @ $ 450.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relocation of Distribution Feeders: <br />__ Not morethan 100amperes ........................................ @ $ 25.00 <br />__ Over 100 amperes but not more than 200 amperes ....................... @ $ 40.00 <br />,__ Over 200 amperes but not more than 400 amperes ....................... @? $ 70.00 <br />__ Over400amperes ............................................... @ $ 85.00 <br />__ Feederover600volts ............................................. ¢]!$ 120.00 <br /> MISCELLANEOUS <br />-- A. Eacbtrailerormobllehoreespace(Serviceedulprnent) .................. (~$ 28.00 <br />__ B. Each supply for mobile home (Connection) ........................... @ $ ;)5.00 <br />__ C. Each irrigation pump (Attach a map sl~owing location) ..................... (~) $ 30.00 <br />__ D. Each electric sign or outlinelfghtlng ................................ @ $ 80.00 <br />__ E. Each swimming pool (bonding) ................................... ~2 $ 30.00 <br /> BRANCH CIRCUITS <br />__ One new circuit;alteration or extensto~ ............................... @ $ 20.00 <br />-- Twoormorenewcircuits;al~eratlonsorextensions ....................... ~.~$ 30,00 <br />-- Other (as per NEC and Building Official) ......................................... <br />~ On-Site Technical Review (apply directly a/Marion County only) ...................... <br />__ Industrial Plant Inspection (apply directly at Marion County only) ...................... <br />__ Reinspectlon Fee ................................................ @? $ 20.00 <br /> FEE <br /> STATE SURCHARGE <br /> <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> with the indicated fee. INVESTIGATION FEE <br /> FLEET SURCHARGE <br /> <br /> '~'~ t,e .ub~an~//ption., the laws Of t~" Sta~ ~ Oregon and the O~,nance8 of Madon Count. <br /> <br /> (Supafvaing El~trlclan) <br />HOMEOWNERS - I hereby codify that I am the owner of the prope~y described above, at which location I propose to make an electrical installation for <br />my own use and this proper~ ts not being constructed for sale, lease or rent. <br /> <br />/5-34 <br />t 2/88 <br /> <br /> <br />