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'~.lr~ F~IA~N COUNTY BUILDING INSPECTION <br /> ~nator Bldg, NC. 225 <br /> 220 High Street NE <br /> <br /> Phone 56~147 <br /> <br /> Code-A-Phone 4:30 P.M.. S:00 A.M, <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br /> Situs Address; Site No.; C~oa$ Street: / " " ' '" <br /> <br />E[ectncal Firm: · ' Phone; Address: <br />Su~ gir~ E{~..~[~ ' Phone; Adr~esai /, <br />' EJ~LO~"O.: Home Builder~ R~i,tration No.: __ <br />8upe~ising ' ~' J U~eof ~ New ~ Addition ~ Osaupan~ <br />Ele,rlclan~No.; //7~ ~- ~ Budng:~.. A. teratlon~ Relocate, ~ Change <br /> <br /> No. RESIDENTIAL <br /> Re0idenee widng less than 1000 sa, ff ............................... @ $ <br /> Residence wiring less than 2000 sa ft ............................... <br /> Residence wiring over 2000 <br /> EJectrlc heat installation in existing residence ........................... @ $ <br /> SERVICES <br />__ Temporary Construction Service ..................................... @ $ 20.00 <br /> Servl~ ~a~e o~iy in =n existing ms~en~ ........................... ~ $ 20.~ <br /> Comme~lel or tndu~rlal: <br /> ,. Service not over 1~ ~peres ....................................... ~ $ 30.00 <br /> Service over 100 amperes but n~ more then 200 emgems ................. ~$ 50,00 <br /> Service over 200 amperes but not mom than ~0 em~res .................. ~ $ 70.00 <br /> ,. Se~iceover400empemsbutnotmorethan600amperes ................. ~ $ 100,00 <br /> Servi~ over 600 amperes ......................................... ~ $ 130,00 <br /> . Se~ceover6~l~ ............................................ ~$ 300,00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Al~rafl~e or Reloc~Jon of Dl~rJbutJon F~e~: <br /> Not mom than 100 amperes ........................................ ~ $ 20.00 <br /> Over 100 amperes but not mom than 200 amperes ....................... ~$ 80.00 <br />~ O~r200~mpems~utnotmomthen400amperes ....................... ~$ 50,00 <br /> .. ~r400amoems ............................................ ~$ 60.00 <br /> Feeder over 600 ~{ts ........................................... ~ $ 80.00 <br /> MISCELLANEOUS <br />A, Eechtmiler~Mleho~space(se~u~m} ................. <br /> B. Eachsupply~rmobilehome.~nne~lon) .......................... ~$ 20.00 <br /> C. Eac~ irrlgatio~ p~p (Attach a map showin~ Io~tien; ..................... ~ $ 20.00 <br /> D. Each e~e~rio sign or outline lighting ................................ ~ $ 20-00 <br />~ E. Each residential swimming pool ................................. ~ $ 20.00 <br /> BRANCH <br /> One new clmuit: alteration or extension ............................... ~$ 15.00 <br /> <br />__ ~her les per NEC and Building ~ficial} ........................................ <br /> OmSite Te~Jcal Review (appJy dJm~Jy at Mahen Cou~ only~ ..................... <br /> Industrial Plant Inspe~lon (apply directly at Marion Coun~ only) ...................... <br /> <br />30.00 <br />50,00 <br />70.00 <br />20.00 <br /> <br /> Reinapection Fee .......................................................... <br /> FEE ,~4,~¥ ~ <br /> STATESURCHARGE ' =~ ~.~'~'~ , <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> with the indicated fee. iNVESTiGATION FEE <br /> <br />I agree to make tho electrical ins a~ocJing miffs nd specifications tile laws of the State of Oregon and the O~Jinanoes of Marion County. <br /> <br />$1GNATUREOFAPPLICAN~/ ~/- ~, ~, ~- ,j...~ ($ul~r~tslngEle~tralen) <br />~ HOMEOWNERS - I hereby ce/tlfy that I am the owner of the properly described alcove, at which ~cation I propose to make an eJe~tr~cal Installation for <br /> my own use and this propetly~ not being constructed for sale, lee, se or rent, ' <br /> <br />$1GNATU RE OF APPLICAN~ <br />MC; 15-34 (Owner ~olng his owr~ w01~) <br />Rev. 3/87 <br /> <br /> <br />