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~{':~ARION COUNTY BUILDING INSPECTION <br /> <br /> Salem, Or~gon 97301 <br /> <br />.... ~ [~0~ 0N ELE~RICAL PERMIT APPLICATION <br /> <br /> Phone Address:: <br />.ss:: __,.~ ,["~ ,~ I Site No Cross Street;: ..... <br /> Pl";o~e:: Address:: ', ' <br /> <br /> I New ~ Addition ~ Occupancy <br /> ~ Al~e~agon ~ Relocation ~ ~hange ~ <br /> <br />Supervising <br />Electrician's No, <br /> <br />NO, <br /> <br /> RESIDENTIAL <br /> Residence wiring less than 1000 sq. ft ...................... @$ 30.00 <br /> Residence widng less than 2000 sq. ft .................... @$ 5000 <br />ReSidence wiring over 2000 sq. fl ..................... @ $ ?0.00 <br />Electric heat installation in existing residence .................... @ $ 2000 <br /> SERVICES <br />Temporary Construction Service ........................ @ $ 2000 <br />Service change only in an existing residence .......... @ $ 20.00 <br />Commercial or Industrial: <br />Service Dot over 100 amperes ............ @$ 3000 <br />Service over 100 amperes but net more than 200 amperes ............... {'~$ 50.00 <br />Service over 200 amperes but not more than 400 amperes ...... @ $ 7000 <br />Service over 4oo amperes but Dot more than 600 amperes .... @$ 10000 <br />Service over 600 amperes ............................ @5 13000 <br />Serviceover600VOlts ....................... @ $ 30000 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relocation of Distribution Feeders: <br />NOt momthan 100 amperes ................. @ $ 20.00 <br />Over 100 amperes but not more than 200 amperes ...... @$ 30.00 <br />Over 200 amperes but not more than 400 amperes .................. @$ 5000 <br />Over 400 amperes ...................... @$ 60.00 <br />Feederover600volta ...................................... @ $ 8000 <br /> MISCELLANEOUS <br />A. Eachtraiierormobilehomespace(Servlceequipment) ........ @$ 20.00 <br />B EachaupplyformobiJehome(Connection) .......................... @$ 2000 <br />C. Eachirrigationpump(Attachamapshowinglocatlon) @$ 20.00 <br />O. EachelectricsignorouUinelighting ........................ @$ 20.00 <br />E Each residential ~wimmieg pool ............................ @ $ 2000 <br /> BRANCH CIRCUITS <br />One new circuit, alteration or extension ..................... ~$ 15.00 <br />TWO or more new circuits; alterations er extensions ........ @ $ 20.00 <br />Other (as per NEC and Suilding Officlal) <br />On-Site Technical Review (apply directly at Marloe County only) <br />Industrial Plant Inspection (apply directly at Marion County only) <br />Reinspection Fee <br /> FEE <br /> STATE SURCHARGE <br /> <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> with the indicated fee, iNVESTIGATION FEE <br /> FLEET SURCHARGE ~-- <br /> TOTAL $ ¢~,~ ~ l '~ <br />I ag,es to mak. ,h. el,ctri~ai ,~l~ding ~o the subm,tted p~ and specific~ions ,h. laws of the State of Oregon and the O~inanc.s of Marion <br /> Coun~ <br /> <br />~ HO~OW~g - I hobby ~i~ that I am th¢ ownor o{ the p~ ~d above, aI ~h~¢h location I pmOose to mak, an *l*ctr~c~l ~ns~allatlon for <br /> my own use and thi~ propo~ Is Dot being constru~ed for sale, lease or rent. <br /> <br />SlGNATU R 5 O1-~ APPLICANT: <br /> <br /> <br />