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MARION COUNTY BUILDING INSPECTION <br />Senator Bldg, No. 225 <br />220 High Street NE <br /> Salem~ Oregon 97:301 <br /> <br /> Phone $88-5147 <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />~vnsr: ' Phone: 'l~lailing Address: <br />~bAddress: ~ ' /'~,,¢ r ' \ SiteNo.: CrossStreet: .... <br />ectrical Firmj;/ ./ <br /> <br />ectrical contrac~or,s No,: Home Builde~ Re~i~tratlo~' No.: <br /> <br />~pervising .... [ u~e~ ' Residential ~ New ~ Additio~ ~ OcCUpancy <br />Alteration ~ Relocation ~ Change <br />Oommercial ~ <br />ectricia~ No,~~ :, <br /> <br />No, <br /> <br /> RESIDENTIAL <br />Residence wirlng less than 1000 sq. ft ................................. @$ 50,00 <br />Reslder~ce wiring less than 2000 sq, ft ................................. (~_? $ 75,00 <br />Residence wiring over 2000 sq. ft .................................... @ $ 105,00 <br />Electris heat installation in existing residence ........................... @ $ 30,00 <br /> SERVICES <br />TemporaryConstruction Sewice ..................................... (~! $ 30,00 <br />Service change only in an existing residence ........................... ~ $ 30.00 <br />Commercial or Industrial: <br />Service net over 100arnpems ................ ....................... @ $ 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 ................. ~ $ 100,00 <br />Service ever 400 amperes but net more than 600 amperes ................. (~ $ 150.00 <br />Serviceover600amperes ......................................... @ $ 200.00 <br />Serviceover600volts ............................................. (_q~ $ 450.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relocation of Distribution Feeders: <br />Not more than 100 amperes ........................................ (?/) $ 25,00 <br />Over 100 amperes but not more than 200 amperes ....................... @ $ 40.00 <br />Over 200 amperes but not m0re than 400 amperes ....................... (¢$ 70,00 <br />Over 400 amperes ............................................... (~$ 85.00 <br />Feeder over 6g0 volts ............................................. @5 1 ~'0.00 <br /> MISCELLANEOUS <br />A, Eachtfallerormobilehomaspace($erviceequipment) .................. (~)$ 25,00 <br />B. Each supply for mobile home (Connection) ........................... @ $ 28.00 <br />C, Ea0hirrigatIonpump(Attacharnapshowinglocatlon) ..................... ('(~b. $ 30,00 <br />D. Each electric sign or outline lighting ................................ @ $ :30.00 <br />E. Each swimming post (bonding) ................................... (~ $ ~0.00 <br /> BRANCH CIRCUITS <br />One new circuit; alteration or extension ............................... @$ 20,00 <br />Twoormarenewcimultrc;alterationsorextensions ....................... ~$ 30.00 __ <br /> <br /> __ Other (~s per NEC e,r~d Buitding Official) ......................................... <br /> ~ On-Site Technical Review (apply directly at Marlon County anfy) ...................... <br /> __ Industrial Plant Inspection (apply directly at Marion County only) ...................... <br /> __, Reinspection Fee ................................................ @~ $ 20,00 <br /> FEE "~ ~'~,,,, 6,tP ] <br /> STATE SURCHARGE ~ ~,~, '2 ~ <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE - ~ <br /> with the indicated fee, INVESTIGATION FEE <br /> FLEET SURCHARGE ~ ~?~,:~ <br /> TOTAL ~ ¢' ~, <br />I agree tO make the electrical i n at a II at i o~)A/c c o,,[;~if~ g to the eu~_~d pl.~.~C,~'('~*p e ¢ i f ica t I o n s, the law8 ct the State of <br /> Oregon <br /> and <br /> the <br /> Ordinances <br /> Marion <br /> County. <br /> <br /> HOMEOWNERS - I hereby certify that I am the owner cf the property described above, at which Iocatrdn 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 tS-S4 (owr~or doing his own w~rk) <br />Rev, t2/88 <br /> <br /> <br />