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MARION COUNTY SUILDING INSPECTION <br /> Senator I~dcj, Ne. 225 <br /> 220 High Street NE <br /> Salem, Oregon gte01 <br /> <br /> [Shone 588-5147 <br /> Code-A-Phone 4:30 EM. - s:s0 A.M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Phone: Mailing Address <br /> <br />AddresS; <br /> <br /> Supervising Electrician: <br /> <br />l Eleslrleisn s Ne. ~::;,zy/,¢~-_,? Building: <br /> <br />Address; <br /> <br /> Home Builder's Registration Ne.: <br /> <br />Residential <br />Commercial [] Alteration [] <br /> <br />Addition <br />Relocation <br /> <br />Occupancy <br />Change <br /> <br /> NO, RESIDENTIAL <br />..... ees~¢dencewidng[essthe, nt000sq, ft ................................. ¢¢.~$ 50.00 __ <br />__ Residence wiring less than 2000 sq. ft ................................. (~ $ 75,00 <br />Residencewiringover2000sq. f! ................................... ¢&'~ $ 105.00 __ <br />..... Electric heat installation in existing residence ........................... (~) $ 30,00 <br />SERVICES <br />___ Temporary Construction Service ..................................... (~ $ 30,00 <br />__ Service change only in an existing residence ........................... ~ $ 30,00 __ <br />Commercial or Industrial: <br />...... Service not over 100 amperes ....................................... @ $ <br />. ~_~.~ Service over 100 amperes but not more than 200 amperes ................. (;r~ $ <br />Service over g00 amperes but not more then 400 amperes ................. ~i) $ <br />......... Service aver 400 amperes but not more than 600 amperes ....... . ......... (~* $ <br /> <br />45,00 <br />70,00 <br />100,00 <br />150.0g <br /> <br /> .... Serviceover600ampsree ......................................... (e) $ 200.00 <br /> Servlceover 600 volta ............................................. ~'~? $ 450,00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br /> Not more than 100 amperes ........................................ ¢2 $ 25,00 <br /> Over 100 amperes but not morethan 200 amperes ....................... (~ $ 40.00 __ <br /> ___ Over 200 amperes but not more than a00 amperas ....................... ~s$ 70.00 <br /> Over 400 amperes ............................................... ¢i3 $ 85,00 <br /> .... Feeder over 600 volts ............................................. ~$ 120.00 <br /> MISCELLANEOUS <br /> ......... A. ES0htraJJerormobilehomespace(Serviceesuismen0 .................. ~$ 25,00 <br /> ........ B. EachsupplyfOrmobJJehOme(~onnemlon) ........................... (&'¢$ 25,00 <br /> ........ C. Each irrigation psmp (Attach a map showing location) ..................... (i~, $ 30.00 <br /> D. Each electric sign or outllnelighting ................................ (q~ $ 30.00 <br /> ........ B, Each sw(mming pool (bondk~g) ................................... ((j~ $ 30,00 <br /> BRANCH CIRCUITS <br /> Onenewcircuit;afferationorextension ,. ............................. ('d~$ 20,00 <br /> ~'~_i Two or more new circuits; alterations Or extensions ....................... ~> $ 30,00 <br /> Other (as per NEC and Building Offlciel) ......................................... <br /> .... On-Site Teshnical Review (apply direetly et Marion County onl¥) .......................... <br /> Industrlal Plant Inspeciion (apply dJreclly at Marion Cogsty only) ...................... <br /> Reinspection Fee ................................................ (h, $ 20,00 __ <br /> FEE ___.~.-~ ~ "- <br /> STATE SURCHARGE 4.-.-.-.-.-.-.-.-.-~.~"'~ .. <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE __ <br /> with the indicated fee, INVESTIGATION FEE <br /> FLEET SURCHARGE __ '~'~,,,~ <br /> TOTAL <br /> <br />my own use and this property is not being constructed for sale, lease <br /> <br /> <br />