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Ig~'~OUNTY BUILDING INSPECTION <br /> <br /> 220 High Street NE <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br /> North Marion School District <br />3ob Address <br /> <br />H%g~.%c_h. ool football field <br />ElectricaJ Firm <br />JR Electrlc <br /> <br />Supervising Electrician <br />Joseph V. Dryden <br /> <br />24-205C <br /> <br />678-5835 <br /> <br />Site NO. <br /> <br />Phone <br />981-3913 <br /> <br />Mailing Address <br />20256 Grim Road NE, Aurora, OR 9700 <br /> <br />Cross Street <br /> <br />Address <br />P.0..Box 266, Eubbard, 0R 97032 <br /> <br />Addition ~ Occupancy <br /> <br />Home Builder% Registration No <br />50829 <br /> <br />Supervising ]-"tJse of iResidential ~ New f- <br />Eleotrician=s No 312,88 Suilding Commercial ~ Alteration <br /> <br />Relocation F~ Change [] <br /> <br /> No,, RESIDENTIAL <br />___ Residence wiring less then 1000 sq ft [~ $ 50 00 <br />.... Residence wiring less than 2000 sq ft (4~ $ 75 00 <br />Residence wlring over 2000 sq ft frfl$ 10500 <br />__ Electric heat installation in existing residence (~ $ 30 00 <br /> SERVICES <br />____ Tempors, ty Constn.ietion Service ~,.) $ 30 O0 <br /> ____ ServicechangeoelyinanexJstingresidence ~'~$ $000 <br />Commemisl or Indastrial: <br />~, Service not over 100 amperes @ $ 45.00 <br />Service over 100 amperes bet not more than 200 amperes ~'$ 7000 <br />,, Serviceovef200emperesbutnotmore~han400amperas C,~75 10000 <br />___ Service over'400 amperes but not more than 600 amperes ~¢ $ 1~g.oo <br />..... Service over 600amperes ~ $ 20000 <br />____ Service over 000 volts ~_~ $ 450 00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relocation of Distribution Feeders: <br />...... Not mere than 100 amperes ~, $ 25,00 <br /> ._~ Over l00 amperes but net more than 200 amperes (d~$ 4000 <br /> ____ Over 2OO emperes but not more than 4OO emperes ~¢h $ 7000 __ <br />.... Over 400 amperes (~' $ 8500 <br /> _ Feeder ever 6OO volts ¢~ $ 120 O0 __ <br /> ~/IISE:ELLANEOUS <br /> A Each trailer or mob e home space (Serwceequipmen( ~t' $ ;~5 00 <br />_____ B Each supply for mobile home(Connection) fi? $ 2~ 00 __ <br /> __ C. F_~chif¥igationpemp(&tt~cn~m~p~howinfjlocatiof~) ~:$ ~g.g0 <br />D Eachelectricsignoroutlineflghting g¢ $ 3000 __ <br />__ E Each swimming pool bending) fi= $ 30 00 <br /> BRANCH CIRCUITS <br />One new circuit alteration or extension ~£ $ 20 O0 <br />.-~-' Two or mere new circuits: alterations or axtensiorls (~_l' $ ;3000 <br />Other fas per NEC and Building Official) <br />.___ On-Site Technical Review (apply directly at Medon County only) <br />Industrial Plant Inspection (apply directly at Marion County only) <br />Reinspectfon Fee (~i~ $ 20 O0 <br /> <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION PLAN REVIEW FEE __ <br /> INVESTIGATION FEE <br />with the indicated fee FLEET SURCHARGE <br /> TOTAL <br /> <br />,3,2_0. aa <br /> <br />30~._00 <br /> <br />395_0J2 <br /> 19,~75 <br /> <br />7.68 <br />2-2./13 <br /> <br />SIGNA%'U RE OF AP P LICANT -- '~-- V fSuper~iSmg Electrician) <br /> <br />[] HOMEOWNERS - f hereby certify that I am the owner of the property described above: et which location I p~opose t~o make an electrical installation for <br /> my own use and this property is not being constructed for sale, lease or rent <br /> <br />SIGNATURE OF APPLICANT __ <br /> <br /> <br />