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MARION COUNTY I~UILD~ING INSPECTION <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Phone; <br /> <br /> Cross Street: <br /> <br />Cootractor's <br /> <br />Home Builder's Registration No,; <br /> <br />Useef Rea~erttial [~ New [] Addition [] Occupancy <br />Building: Commercial [] Alteration C~ Relocation ~ Change <br /> <br /> No, RESIDENTIAL <br /> = Residence wiring lessthan 1000 sq, ft ................................. @ $ 50,00 <br />.__ Rssldencewiringlessthen2000sq, ft ................................. (F~$ 75.00 <br />__ Reside~aewifingover2050sq. ft. ................................... @$ 105,00 <br />.... Electric heat installation in existing residence ........................... @ $ 30,00 <br /> SERVICES <br />__ Temporary Construction Service ..................................... @ $ 30,00 <br />__ Service change onlyin an existing residence ........................... @ $ 30.00 <br />Commen~la~ or Industrial: <br />..... Service not over tOO amperes ....................................... @ $ 4.~.00 <br />___ Serv[ce over 100 e~3eme but ~ot mere thaR 200 araperes ................. @ $ 70,00 <br />__ Service over ~00 amperes but not more than 400 amperes ................. @ $ 100,00 <br />Serviceover400amperesbctnotmorethan600amperes ................. @. $ 150.00 <br />~ Serviceover600ampen~s ......................................... @ $ 200.00 <br />__ Serviceover600v01ts ............................................. (~ $ 450.00 <br /> COMMERCIAL AND iNDUSTRIAL FEEDERS <br />Installation of Altemfloee or Relocation of Diatribution Feeders: <br />-- Notmorethanl00emperes ........................................ @$ 25.00 <br />.... Over 100 amperes but eat more than 200 amperes ....................... @$ 40,00 <br />___ Over200amperesbutnotmorethan400amperes ....................... ~$ 70.00 <br />Over 400 amperes ............................................... @ $ 85.00 <br />__ Feederover600voIts ............................................. @ $ 120,00 <br /> MISCELLANEOUS <br /> A. Eachtrailerormobllehomespace(Serviceequlpment) .................. @$ 25.00 <br />~ S. Each supply 1o~ mobile home (Connect[c,~) ........................... ~ $ 25.00 <br />.~__ C. Eachirrigationpsmp(AttAChamapshowlnglocation) ..................... @$ 30,00 <br />.... D, Each electric sign or outline lighting ................................ @ $ 30.00 <br />__ E, Each swimming peel (bonding) ................................... @ $ 30.00 <br /> BRANCH CIRCUITS <br />__ One new CirCUit; alteration or extension ............................... @ $ 20.00 <br />.... Two or more new circuits; alterations or extensions ....................... @$ 30.00 <br />.... Other (as per NEC and Building Oft[elal) ......................................... <br />__ On-Site Technical Review (apply directly at Merles County only) ...................... <br />........... Industrial Pfant Inspection (apply diremly at Marion CoLmty only) ...................... <br /> Re~nspection Fee ................................................ ~ $ 20.00 <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 installoflo~ accordinq, t~t~ su~itted plans ~13d specific~tio~the laws of the State of Oregon and the Ordinances of Marion Coumy. <br /> <br />SIGNATURE OF APPLICANT; <br /> <br /> <br />