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Received By:: <br /> <br />MARION COUNTY BUILDING INSPECTION <br />Senator Bldg. NO. 225 <br />220 High Street NE <br /> Salem, Oregon 97301 <br /> <br /> Phone 588-5147 <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Owner:: ......... Phone- Addres's:i .................. <br />Situs Address;; ~ . ' ........ Site'No~., ) Cross Street:: <br />Supervising Electrician;; Phone:: Address;; <br /> <br />Electrical Contra~or~ NO,;;: "Home Bui'lde(~ Registration No,,:: <br />Supervising I d'~ of New ~ Addition ~ Occup~nw .................... <br />Be~riclan~ No,~ Building:: Alteration ~ Relocation ~ Change ~ <br /> <br />NO. <br /> <br />Please return COMPLETE APPLICATION <br />with the indicated fee. <br /> <br /> RESIDENTIAL <br />Residence wiring lessthan 1000 sq ft ........ 6 $ 3000 <br />Residence wiring less than 20g0 sq. ft ............................. @$ 50,00 <br />Residence wiring over 2000 sq. ft ............................................. 65 70,00 <br />Electric heat installation in existing residence ........ 6 $ 2000 <br /> SERVICES <br />TemporaryConstruction Service ..... 6 $ 2000 <br />Service change only in an existing residence ................................... @$ 2Q,00 <br />Commercial or Industrial: <br />Service notover 100 amperes ....... 6 $ 3000 <br />Servlce over 100 amperes bat not more then 200 amperes .................... 65 50,00 <br />Service over 200 amperes but not more than 400 amperes .................. ~-a~$ 70,00 <br />Service over 400 amperes but not more than 600 amperes @$ 10000 <br />ServiceoverGOOamperes ....... 6 $ 13000 <br />ServiceoverGOOvolts 6 $ 300,00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relocation of Distribution Feeders; <br />Not more than 100 amperes ........................................................... @$ 20,00 <br />Over 100 amperes but not more than 200 amperes @$ 30,00 <br />Over 200 smpems but not more than 400 amperes ............................... @$ 50,00 <br />Over400amperes .............................. 6 $ 60,00 <br />FeederoverG00volt~ ........................................................... @ $ gQ,00 <br /> MISCELLANEOUS <br />A, Eachtrailerormobilehomespace(Servlceequipment) .................. @5 20.00 <br />B, Eachsupplyformobllehome(Conne~tion) ............................. @$ 2000 <br />C, Eachirrigationpump(Attacl~amapshowlnglocatlon) ............................ @$ 2000 <br />D EachelectricsJgnoroutlinelighting ................................. 65 20,00 <br />E Each residential swimming pool @ $ 2000 <br /> BRANCH CIRCUITS <br />One new circuit~ alteration or extension .......................................... @ $ 15,00 <br />Two or more new cimuits; alterations or extensions @ $ 20,00 <br />Other (as per NEC and Building Official) <br />On-Site Technical Review (apply directly st Marion County only) ............................. <br />IndustriaI Plant lnspection (apply direc~ly at Marion County only) ................................. <br />Re[nspection Fee <br /> FEE <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE <br /> INVEBTIGATION FEE <br /> FLEET SURCHARGE <br /> TOTAL $ ~rt~, ~ ~¢/ <br /> ~ and sj~eoifloations= the laws of the Stero of Orogon and the Ordinances ~ Marion County, <br /> <br />SIGNATURE OF APPLICANT <br /> <br />[] HOMEOWNERS - I hereby certify that <br /> my own use and this properly is not t <br /> <br />SIGNATU RE OF APPLICANT: <br /> <br />MC t5-~4 <br />Rev, <br /> <br />at which location I propose to make an electrical installation for <br /> <br /> <br />