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MARION COUNTY BUILDING INSPECTION <br /> Senator taOg, NO, 225 <br /> 220 High taraet NE <br /> ~alem, Oregon ~301 <br /> Phone 588~147 <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br /> ' Phone; <br /> <br />Situs'Address: Bite No.: Cross Street: <br />Phone; Address: <br />Electr:ca, Firm~ ~,~,~ <br />Supe~in~ctdcian; ~ ~ P~: Address: <br /> <br />[lectrical Contra~or~ No,:' Home Builder~ Registration No.: <br /> New ~ Addition ~ Occupan~ <br />Supervising Use of AIteration~ Re o~tion ~ Change <br /> <br /> NO. RESIDENTIAL <br />__ Rasldencewiringlessthanl000sq, ft ................................. @$ 30.00 <br />__ ResJdennewJrJngtassthan2000sq,~t ................................. @$ 50,00 <br /> Residence wiring over 2000 sq. ft .................................... @ $ 70,00 <br />._. Elsctric heat insta{lation in existing residence ........................... @ $ 20,00 <br /> SERVICES <br /> Temporary Construction Service ..................................... @ $ 20.00 <br /> /' , Service change onty in an ex~sting residence ........................... @ $ 20.00 <br /> Commemlal or industrial: <br /> Serv~cenotoverlOOamperes .................................... @$ 30,~0 <br /> Service over 100 amperes but not more than 200 amperes ................. @ $ 50.00 <br /> Service over 200 amoeres but not morO than 400 amperes ................. @ $ 70.00 <br /> . Servlceover400amperesbutnotmorethan600aml~eres ................. @ $ 100.00 <br />__ Serviceover600amperes ........................................ @$ 130.00 <br /> Service ever 600 volts ............................................ ~. $ 300.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> installation of Alteratlone or Relocation of Distribution Feeders: <br /> Not more than 100 amperes ........................................ @$ 20.00 <br /> <br />~ Over 100 amperes but net more than 200 amperes ....................... @ $ 30,00 <br />__, Over 200 amperes but net more than 400 amperes ....................... @$ <br />__ Over400amperOs ........................ ....................... @$ 60,00 <br />~ Feederover600volts ................ : ........... ................. @ $ 80.00 <br /> MISCELLANEOUS <br />A. Each ~'ailerOr mobile home space (~ervice equlpmenti .... .............. @ $ 20.00 <br />__, B. Each suppiyfor mobile home (Connection) ........................... @ $ 20.00 <br /> , C. EachJrrJgafioepump(ASachsmaps~ow~g~,ation) ....... . ............. @$ 20,00 <br />~ D. Each electric sign or outline lighting ......... .............. ........, @ $ 20.00 <br /> E. EashrosidentlalswimmlngpOol .... ........ ...................... @$ 20.00 <br /> BRANCH CIRCUITS <br />__ Onenewcimuit;alterationorexten~ion .............................. . @$ 15.00 <br /> <br /> ~ Twbor more new circuits; alterations or extensions ...................... . @ $ 20.00 <br /> __ Other (as per NEC and Building Official) ......................................... <br /> On-Site Technical Review (apply dlrectlyat Mark)n County only) <br /> Industrial Ptant Inspection (appl~ directly at Marion County only) i; '. i i i i i;;; i; i i i i i;;; i <br /> <br /> STATE SURCHARGE I <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> <br />[] HOMEOWNERS - { hereby certify that I am the owner of the preper[y described above, at which tocat{Oe I propose to make an electrical {ns~ilafion for <br /> my own use and this properS/is not being constructed for sale, lease or rent, <br /> <br />MC 15-34 <br />Rev. 3/87 <br /> <br /> <br />