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Received By; <br />Date: __ <br /> <br />MARION COUNTY BUILDING INSPECTION <br />Senator Bldg. No. 225 <br />220 High Street NE <br /> Salem, Oregon 97301 <br /> <br /> Phone $88.5147 <br /> Code-A-Phone 4:30 P.M.- 8:00 A.M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Supervising Elemrician: '" ~hone: Address: ............ <br />~llEl'~ctricaJ Contractor's Ne.: ..... <br /> Home Builder's Registration No,; <br /> Supervising Useof Resldentla[ [] New [] Addition [] Occupancy <br /> Electriclan~ No.: Building: Commercial[] Alteration [] Relocation [] Change <br /> <br /> NO. RESIDENTIAL <br /> .... Residence wiring less then 1000 sq. ft ................................. @ $ 50.00 <br /> ___ Residencewlringlessthan2000sq. ft ................................. ~¢$ 75.00 <br /> ___ ReCdencewiringover;~000sq. ft .................................... @ $ 105.00 <br /> __ Electric heat installation in existing residence ........................... @~ $ 30.00 <br /> SERVICES <br /> __ Temporary Construction Service ..................................... (gL? $ @0.00 <br /> -- Service change only in an existing residence ........................... (_~¢ $ 30.00 <br /> Commercial or Indaetrlah <br /> __, Service not over 100 amperes ....................................... @ $ 4.5.00 <br /> Serv ce over 100 amperes bu not more than 200 am eras <br /> P ............... (& $ 70,00 <br /> Service over 200 amperes but not more than 400 amperes ....... r~ ?. ..... (~) $ 100,00 <br /> Service over 400 amperes but not more than 600 amperes .~,=... ~;b",..F~., ~ $ 150.00 <br /> Service over 600 amperes .......................... '"2~.~, , , .~.,,6~_ @ $ 200,00 <br /> Servlceover600volts ............................... ~ .... '~. ,L~. (-~ $ 450 00 <br /> COMMERCIAL AND INDUSTRIAL FEED ~"RS <br /> Installation of Alterations or Relocation of Dletributior~,~deJ:s4 v.~ <br /> Not more than 100 amperes ......... ~:N. ~,~, ,, ~,,,?~. , , (~$ ¢.500 <br /> Over t00 amperes but not more than 200 amperes .;_~.'~.,./"'~'%. ,_,.~... i i i i ~ $ 40100 <br /> --.-- Over200smperesbutnetmorethan400amperes,(,.,'~. ~..,4¢¢' (r/~$ 7000 __ <br /> Over400amperes .............. '~,,.. ~:~'"~ .......... ~$ 85'00 <br /> Feeder over 600 volts ....... J~"~ i~'J~J 17~' J ', ............ ~i $ 120'00 <br /> MISCELLANEOUS ' '~ ~ '\' - ~ .............. <br /> A. I-"SCh trailer or mobile home space ($e~'1cI~ e~ipment) ....... ~) $ ~5 00 <br /> T B, Each supply for mobile home (Connection)' ........................... (m~ $ 25,00 <br />..... C. Eachirrigationpump(Atlachamapshowinglo¢~tton) ..................... ~$ 30.00 __ <br />..... D. EaCh electric sign or outline lighting ................................ (~ $ 30,00 <br />__ E, Eachswimming pool(bonding) ................................... (u~ $ 30.00 __ <br /> BRANCH CIRCUITS <br />-- Onenewcircuit;a~terationorextenslon ............................... C¢$ 20.00 <br />-- Twoormorenewcircults;alterationsorextensions ....................... (<?$ 30,00 <br />__ Other (as per NEC and Building Official) ......................................... <br />...... On-Site Technical Review (apply directly, <br />__ Industrie~ Plant Inspection (apply directly et Marian Count <br />__ Reisspection Fee .......................... ~ $ 20.00 <br />Please return COMPLETE APPLICATIC'NE~ FEE <br />with the indicated fee. <br /> <br /> ~~' ;' ~reby certify that I am the owner of th <br />-'- my own use and this property is ~ <br /> <br /> SIGNATURE OF APPLICANT: <br /> <br /> Rev, 12/88 <br /> <br />TOTAL $ ~'~ ~ <br /> <br /> EO~ ;NO .' <br /> <br />at which location I propose to make an electrical installation for <br /> <br /> <br />