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I~1~ CoU~'F~, B,.UlLDING INSPECTION <br /> <br />Owner: <br />' $1{u~A'dd~ss: -, ..... $iteNo.: CrossStreet: <br />Electrical I~lrrr~ ' - ' ~ - - <br />ledriclan: Phone; Address: ' r <br /> <br /> Supe~ising Use of N~ ~ Addition ~ Oc~upan~ <br /> Electrlcian~ No.: [4~3 Building; Alteration~ Relocation ~ Change <br /> <br />Ne. <br /> <br /> RESIDENTIAL <br /> Residence wiring lace then 1000 sq. ft ................................. ~ $ 80.00 <br /> Residence wlring less than L~000 sq. ft ................................. ~$ 50.00 <br /> Resldencew~dngova~2000sq. ff .................................. @ $ 70.00 <br /> Electric heat installation in existing recidence ........................... @ $ 20.00 <br /> SERVICES <br /> Temporary Construction Service ..................................... @ $ 20.00 <br /> Service change only in an existing residence ........................... @ $ 20.00 <br /> Comrnemtal or Industrial: <br /> __ Servicenot0verl00amperes ....................................... @$ 30.00 <br /> __ Serviceeverl0OamperesDutnotmorethan200ampere$ ................. @$ 50.00 <br /> Service over 200 amperes but not mere than 400 amperes ............... @ $ 70,00 <br /> Service ever 400 amperes but net more than 600 amperes ................. @ $ 10(3.00 <br /> Serviceover600amDeres ........................................ ~ $ 130.00 <br /> Service over 600 volts ............................................. ~ $ 300,00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br />__ Notmorethanl00amperes ........................................ @$ 20.00 <br /> Over 100 amperes Dut not more than 200 amperes ....................... @ $ 30.00 <br />__ Over 200 amperes but not more than 400 amperes ....................... @ $ 50.00 <br />_. Over 400 amperes ............................................... @$ 60.00 <br /> FeederoverC00volts ............................................. @ $ 80-00 <br /> <br /> MISCELLANEOUS <br />A. Eachtrailerormobilehomespace(Servl~eeduioment) .................. @$ 20.00 <br />S. Each supply for mobile home (Connection) ........................... @ $ 20,00 <br />C. Each irrigation pump (At~ach a map Showing Ioc~tlon) .............. · ....,. @$ 20.00 <br />O. Eachelectricsignotou[~ineliDhting ................................ @$ 20.00 <br />E. Each residential swimming pool .................................. @ $ 20.00 <br /> BRANCH CIRCUITS <br /> <br /> One new,qrcuit; alteration or extension ............................... @$ 15.00 <br /> ~'~ Two or more new clreult~; alterations or extensions ....................... @ $ 20.00 ~/")~/") ~?. <br /> __ Other (as per NEC and Sulldlng Official) ................................... ...... <br /> __. On-Sita Technical Review (apply directly at Marion County only) ...................... <br /> __ Industrial Plant Inspection (apply directly at Marion County only) ...................... <br /> __ Relnspecticn Fee ..................... ....................... . ............. <br /> <br /> STATE SURCHARGE <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> with the indicated fee. INVESTIGATION FEE <br /> FLEET SURCHARGE '7,~ ,~' <br /> <br />I agree to make the erectdcsl installation according to the submitted plan~ end '~peolflcAtio,s. the I~ws of the State of Oregon ~nd the O~dinan~ee of M~r on Count~ <br /> <br />F~ HOMEOWNERS- I hereby certi~ that I am the ownelYof the property described above, at which location I prepcee,t0 make an electdcel installation for <br /> my own use and this property is not being constructed for sale, lease or rent. <br /> <br />SIGNATURE OF APPLICANT:, <br /> <br />MC 15-34 <br />Res, 3/87 <br /> <br /> <br />