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Received By: <br /> <br />MARION COUN3:Y.BUtI. DING INSPECTION <br /> Senator Bldg. NO, 225 <br /> 220 High Street NE <br /> $81em, Oregon 97301 <br /> Phone 5~8-5147 <br /> (~<~de-A-Phone 4:30 RM. - 8:00 A.M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Owner: Phone; Address: <br /> <br />Situa Addrees: Site No.: C~se Street: <br /> <br />S,pervising~e~r~,; / /. Phc,e: Address: <br />Ele~ri~al~ontractor~ NO.: Home Builder~ Registration NO.: <br /> <br /> ' Use ~ Addition ~ O~upancy <br /> <br /> No, RESIDENTIAL <br /> ReaidencewidngteasthantOOOsq. ff ................................. ~$ 30.00 <br /> ResidensewIrlngisssthan2000sq. ft ................................. @$ 50.00 E <br /> Residence widng over 2000 sq. ff ............ .............. , ......... @ $ 70.00~ <br /> __ Electric heat JrmtallatJon in existing residence ........................... @ $ 20.00 <br /> SERVICES <br /> TemporaryConatructionService ..................................... @ $ 20.00 <br /> ._ ServIcechangeonlyinanexistingrealdense ........................... @ $ 20.00 <br /> Corcmerelal or InduS'trial: <br /> __ Service not over 100 amperes ..................................... @ $ 30.00 <br /> Servlce ewer 100 amperes but not more than 200 amderea ................. @$ 50.00 <br /> Service over 200 arcperes out not rcore than 400 amperea ................. @ $ 70.00 <br /> Serviceover400amperesbut not morethan600arcoeres ............... ~ $ 100.00 <br /> __ Servlceover600arcperes ......................................... @ $ 130.00 <br /> Service over 600 yells ............................................. .~. $ 300.0O <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> InstallMIon of Alterationa or Relocation of Dletrlbutlon Feeders: <br /> __ Not more than 100 amperes ........................................ @ $ 20.00 <br /> Over 100 arcperes but not rcore than 200 arcperea ....................... @$ 30.00 <br /> Over 200 arcperes but not rcore than 400 amperes ....................... @ $ 50.00 <br /> Over 4.00 amperes ............................................... @$ 60.00 <br /> Feeder over 600 volts ............................................ @ $ 80.00 <br /> MISCELLANEOUS <br /> A. EaohtrailerorrcObilehemeapace(.~erv~ee~uiCment) .............. ~$ 20.00 <br /> B. Ea0h supply for mobile horce (Connection ............................ @ $ 20.00 <br /> __ C. Ea0h irrigatioe psrcp (Affach a mad showing location. ..................... ~ $ 20.00 <br /> D. Eaehelectdcsignoroutllnalighting ............................... @$ 20.00 <br /> E. Each residential swimming pool ................................. @ $ 20.00 <br /> BRANCH CIRCUITS <br /> One new circuit; alteration or extension ............................... ~$ 15.00 . <br /> ~ Twoormorenewclrcuits;alterationsorextenaions ...................... @$ 20.00 <br /> Other (es per NEC and Building Official} ......................................... <br /> On-Site Technlcal Review (apply directly at Marion County only) <br /> Industrial Plant Inspection (apply directly at Marion County only ..................... <br /> Relnspection Fee ........................................................ <br /> FEE <br /> ~TATE SURCHARGE ! <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> with the indicated fee, INVESTIGATION FEE <br /> FLEET SURCHARGE " <br /> TOTAL $ <br /> <br /> Supervising EleCtdclanl <br /> <br />[] HOMEOWNERS - i hereby certihj that I arc the owner of the property described above, at which location I ~3ropose to rcake an electrical ins~llation for <br /> my own use and this property is not being constructed for sale. lease or rent. <br /> <br />$1(~NATURE OF APPLICANT: <br /> <br />Rev, 3/57 <br /> <br /> <br />