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~%~,~,, ' MARION~COI~INTy BUILDING INSPECTION <br /> 220 High Street NE <br /> Salem, Oregon 97301 <br /> <br /> Phone g88-g147 <br /> <br />_~~w er:: ~ ........ ~~ ~n~~Mailing Address:: ..... <br /> e~s ~ ~ ~ ~ ~ , / Site NO :: ~ C~ss Street <br /> <br /> t icaIFirm ~ P n A es ;: <br /> ~per~s~Ele~n:: ~ ~-- / Phone - ~ Add'ess .... <br />_ __, <br /> <br /> P ' ' g ,. ,~mf ~ Useof ~ Residential ~ I New U Additio~ Q ~-- <br /> Eec r can~ ......No '[~ Building ~ Commercial ~ ~ Alteration ~ Relocation ~ Change <br /> <br /> No. RESIDENTIAL <br /> __ Residence wiring lessthen 1000 sq ft ¢;~ $ 5000 <br /> Residence wirin9 less then 2000 sq ft (?~ $ 7500 <br /> .... Residence wiring ever 2000 sq ft ([~ $ 10500 <br /> Electric neat installation in existing residence ~ $ 3000 <br /> SERVICES <br />__ Temporary ConstructiOn Service ~ $ 3000 <br />...... Service change only in an existing residence (~<~ $ 30 00 <br />Commercial or Industriah <br />~ Service not over 100 amperee ~:~ $ 45 00 <br />...... Service ever 100 amperes but not more than 200 amperes (¢~ $ 70 00 <br />__ Service over 2Og amperes but not rnore than 4OO amperes ~$ 10000 <br />Service over 400 amperes but not more then 600 amperes ~)$ 15000 <br />__ Service over 600 amperes ~' $ 200 00 <br />.... Service over 600 vails m? $ 45000 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relocation of Distribution Feeders: <br />___ Not morethan 100amperes ~ $ 2500 <br />Over 100 amperes but not more than ~00 amperes <~(' $ 40 00 <br />__ Over200amperesbutnotmore~han400amperes (~:$ 7000 <br />__ Over 400 amperes {~ $ 85,,00 <br />__ Feeder over 600 volts r~ $ 120 00 <br /> MiSCELLAN~=0US - <br /> <br />__ A Each trailer or mobile home space (Serviceequ~pment} (~ $ 2500 __ <br />B Each supply for mobile home Connection (~' $ 25 00 <br />~ C Each irrigation pump (Attach a mapshowirggIocation) ~' $ 30 00 <br />__ D Eachelectricsign orouthnelighting (~ $ 30 00 __ <br />___ E Eachswimmingpool(bonding) ((4=$ 30,00 <br /> BRANCH CIRCUITS <br /> One new circuit:: afterahon or extension ~r,~ $ 2000 <br />....... Two or more new CirCuits; alterations or extensions (~¢ $ 3000 __ <br />__ Other (as per NEC and Buitdgtg Official) <br />~_ On-Site Technical Review (apply directly at Marion County only) <br />__ Icduetdal Plant InspecSon (apply directly at Marion County only) <br />.......... Reinspection Fee (~z~ $ 2000 <br /> FEE <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION PLAN REVIEW FEE <br />with the indicated fee. INVESTIGATION FEE <br /> FLEET SURCHARGE <br /> TOTAL <br /> <br />I agree to make the electrical ~nst~ltation~'~¢o,rdin~to the submitted plan s~a'n~speciSoati(~s, the laws of the State of Oregon and t~e O~inances o Mar on Coun~ <br />S[GNATUREOFAPPUCANT_~ ~~ ..... ~~ .. ~O~ <br />~ HOMEOWNERS -- I hereby certify t~at I am the owner of the prope~ de~ribed above at which location I propose to make an ele~rica] inst¢]ation for <br /> my own use and this prope~y is not being constr~cted for sale, lease or rent <br /> <br />SIGNATURE OF APPLICANT <br /> <br />Rev 12/88 <br /> <br /> <br />