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MARION COUNTY BUILDING INSPECTION <br /> Senator Bids NO, 225 <br /> 220 High Street NE <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br /> Phone Mailing Address:: <br /> 982-9887 20256 Grim Road N.E., Aurora, OR <br /> Site NO <br /> <br />_j~rth Mari_on School District <br /> Job Address <br /> <br />__JR Elec~riD _ <br /> <br /> Joseph.__V. Dryden <br /> <br /> 24-205C <br /> <br />981-3913 <br /> <br />Cross Street <br />Football fie~ on Boones Ferry Rd. <br />Address <br />?.0. Bo×266, Hubbard, 0R 97032 <br />Address <br />same <br /> <br /> Home Builder'~ Registration No <br /> 50829 <br />Supervising Use of Residential [] New [] <br />Electrisian~ No 3138S Building QommercieJ [] Alteration L~ <br /> <br />Addition [] Occupancy <br /> <br />Relocation [] Change <br /> <br /> No. RESIDENTIAL <br />__ Residencewiringleasthan 1000aq ft e3 $ 5000 <br /> Residence wiring less than 2000 sq ft ('c() $ 75 O0 <br /> Residence wiring over 2000 sq ft (~ $ 105,00 <br /> Electric heat instailahon in existing residence ((~ $ 30 00 __ <br /> SERVICES <br />.... TemporaryConstructio~ Service (?~' $ 30 00 <br /> __ Service change only m an existing residence ¢' $ 3000 <br /> Commercial or Industrial:: <br /> Service not Over 100 amperes (i~, $ 4500 <br />~_ Servt0e over tOO amperes but not more than R00 amperes (¢¢~ $ 70 00 <br /> Service over ~00 amperes but not more than 4-og ~zmperes ¢c$ 10000 <br />__ Servi0e over 400 ampercs but r~ot more than 600 amperes 2~' $ t5000 __ <br />__ Service over 600 amperes ('d)$ 200 00 <br /> Service over 600 volts r&) $ 450 00 <br /> COMMERCIAL AND ~NDOS+RIAL FEEDERS <br /> <br /> Installation of AIteratlone or Reloeetlo. of Distrlbefion Feeders; <br /> ____ Notmorethanl00amperes (~ $ ~500 __ <br /> ..... Over 100 amgeres but got rnore than 200 amperes ac $ 40 00 <br /> Over 200 amperes but not more than 400 amperes $ 7000 <br /> Over 400 amperes cd~ $ 85 O0 <br /> Feeder over 600 ~OIts cb $ 120 0O __ <br /> MISCELLANEOUe <br />...... A Each trailer or mobi(e home space ~Serv~ce cqu~cmen0 a~' $ 25 0g __ <br />___ S Each supply for mobde home(Conneotlor~} ef~ $ 2~00 <br />__ C Each ~rrigation pump (Attach ¢ mapshowlnglocation) e~= $ 30 00 <br />__ D Each electric sign or outline lighting ¢' $ 30 00 <br /> E Each swimming pool(bonding~ (e$ 30 00 __ <br /> BRANCH C[RCU{T$ <br />.... One new circuit;alteration or extension ~41 $ g0 00 __ <br /> t Two ormore new circuits alterations or extensions s~ $ 3000 <br /> Other (as pet NEC and Building Offlcia0 <br /> On-Site Technical Review (apply directly at Marion Couniy only) <br />_ .__ ledust0al Plant inspection apply directly at Marion County only) <br />___ Reinspection Fee (~¢ $ 2000 <br /> FEE <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 />70. 00 <br /> <br />._ lo0.oo <br /> <br />HOMEOWNERS - I hereby certify that I am the owner of the property described above: at which location [ propose to make an electrical installation for <br />y own use and his property ~e not being constructed for sale lease Or rent <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> <br />