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Received Sy <br />Date,. <br /> <br />MARION COUNTY BUILDING INSPECTION <br />Senator Bldg. No,, 225 <br />220 High Street NE <br /> Salem= Oregon 97301 <br /> <br /> Phone S88-S147 <br /> Code-A. Phone 4:30 EM. - 8:00 A.M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br /> Owner Phone:: Address;; <br /> Electrical Fir~ Phone:: Address:: <br /> Supervising Electrician:; Phone:: Address:: <br /> <br /> Electrical Contractor~ No:: Home Builder~ Registration NO:: <br /> Supervising Uae of New [] Addition [] Occupancy <br /> <br />,Electrician~ No,:; Building:: Alteration ~ Relocation ~ Change <br /> <br /> No. RESIDENTIAL <br />__ Residence wiring less than 1000 sq ft ~'~ $ 30.00 <br /> Residence wiring less than 2000 sq ft ..................... @ $ 5000 <br />__ Residencewlringover2000sq, ft ................ @$ 70.00 <br />__ Electric heat installation in existing residence ............ ~ $ 20,00 <br /> SERVICES <br />__. Temporary Construction Service ..................... @ $ 2000 <br />__ Service change only ig an existing residence .......... @ $ 20,00 <br /> Corereemial or Industrial: <br />__. Servicenotoverl00ampares ....................... @$ 30,00 <br />__ Servlceoverl00amperesbutnotmorethan200areperes ................. @$ 5000 <br />__. Serviceover200emparesbutnotreorethan400amperes @$ 70,00 <br />__ Service over 400 amperes but not more than 600 amperes ................. r~ $ 100,00 <br />__ Sereiceover6OOamperes @ $ 13000 <br />__ Service over 600 volts ~'~ $ 300,00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Retaaafloe of Distribution Feeders; <br />__. Notmorethan 100amperes .................................... @ $ 2000 <br />__ Over 100 amperes bat nolmore than 200 amperes @ $ 30,00 <br />__ Over200areperesbutnotmorethan400amperes .......................... @$ 50,00 <br />__ Over400amperes ....................................... @$ 60,00 <br />__ Feederovers00volts ............................. @ $ 80 00 <br /> MISCELLANEOUS <br />__ A Each trailer or mobile home space (Service equipment) @ $ 20,00 <br />__ S, Eachsapplyforreobilehome(Conneotion) ...... @$ 20,00 <br />__ C,, Eachlrrigationpump(Attachamapshowinglocation) @$ 20,,00 <br />__ Q, Each electric sign or outline lighting ....................................... ~ $ 2000 <br />__ E Each residential swirereing pool .............. @ $ 20,00 <br /> BRANCH CIRCUITS <br />__ Onenewcircuit, alteretionorextension @$ 1500 <br />__ Twoorreorenewcireuitg;alteretionsorextensions @$ 20.00 <br />__ Other (as per NEC and Building Official) <br />__ On-Site Technical Review (apply directly at Marion County only) ........ <br />__ Industrlal Plant Inspection (apply directly at Marion Count/only) <br />__ Reinspection Fee <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 />SIGNATURE OF APPLICANT__ <br /> <br />[] HOMEOWNERS - I hereby certify that <br /> ray own use and this property ia not I <br /> <br />5tats of Oregon end the Ordinances of Marion County <br /> <br />at which location I propose to make an alectr,cal installation for <br /> <br />MC 15-34 <br />Rev 3/87 <br /> <br /> <br />