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Received By: <br />Date: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Owner: ' Phone: Address: <br /> Sanc~ner, Ken ( Kamen I~ale-rentor) 8185 Anderson Rd._SE <br />Sit6s Address: Site No,: Cross 8treat; <br />8185 Anderson Rd. S~ 3899 <br />Electrical'Firm: Phone: Address: ' <br /> <br />Supervising Electrician: " Phone: Address: <br /> <br />Electrical Contracter% NO,: Home Builder's Registration No.; <br /> 'Use of New [] Addition' [] Occupancy <br />Electrician'sSupervlslng No,: Bud rig: Alteration [] Relocation, ,, [] Change [] <br /> <br /> No, RESIDENTIAL <br />____ Residence wiring less than 1000 sq, ft ................................ @ $ 30.00 <br />__ Residencewiringlessthan2000sq. ff ................................ ~$ 50.00 <br />__ Residencewlringoverg000sq. ff .................................. ~$ 70,00 <br />__ Electric heat installation In existing residence .......................... @ $ 20-00 <br /> SERVICES <br />__ Temporary Construction Sec.,ice .................................... [~ $ 20,00 <br />__ Service change only in an existing residence .......................... @ $ 20.00 <br /> Commercial or Industriak <br />__ Servicenotoverl00amperes ...................................... @$ 30.00 <br />__ Service over 100 amperes but not more than 200 amperes ............... ~ $ 50.00 <br /> Service over 200 amperes but not more than 400 amperes ............... ~ $ 70.00 <br /> Service over 400 amperes Put not more than 600 amperes ............ @$ 100.00 <br /> Service over 600 amperes ......................................... @ $ 130.00 <br /> Sarviceover 600vctts ............................................. @ $ 300.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br /> Not morethan 100amperes ........................................ @ $ 20.00 <br /> Over 100 amoeres but not more than 200 amperes ....................... @ $ 30.00 <br />__ Overg00amperesbutnotmorethsn400amperes ....................... 95 50.00 <br /> Over 400 amoeres ............................................... @ $ 60,00 <br /> Feederover600voltS ............................................ @ $ 80.00 <br /> MISCELLANEOUS <br /> A, EachtraJJerormob[ie;lomespece(Serviceequipment) . . <br />~ B. Eachsupplyforrnobilehome(Connectlon) ......... ;iiiiiiiiiiiiiii@ @ $ $ 20.0020'00 <br /> C. Each irrigation pump (Attach a map showing Iocatton) ..................... @ $ ~0,00 <br /> D- Each electric sign or outline lighting ............................... ~ $ 20,00 <br /> E. Each residential swimming pool .................................. @ $ 20.00 <br /> BRANCH CIRCUlT~ <br /> One new circuit; alteration or extension ............................... @ $ 15,00 <br /> Two or more new circuits: alterations or extensions ....................... @ $ 20.00 <br /> <br />PlEase return COMPLETE APPLICATION <br />with the indicated fee. <br /> <br />Other las I~er NEC and Building Official) ....................................... <br />On-S te Techn cs Review (apply directly at Marion County only ...................... <br />Industrial Plant Inspection (apply directly at Marion County only) ...................... <br />Reinspection Fee ............................... <br /> FEE <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE <br /> INVESTIGATION FEE <br /> FLEET SURCHARGE <br /> TOTAL <br /> <br />20.00 <br /> <br />$ 24.84 <br /> <br />I agree to rnak~ the electrioal installation according to the ~ubmitted ClaUs aris sDedfl~ation~, the laws of the 3rate of Oregon ~nd the Ordinances of Marion Count', <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> HOMEOWNERS - I hen~by certify that I am the owner of the property deecrlbed above, at which location I <br /> my own use and this property is ~ being constructed for sale, lease or. milt <br /> <br />prepose te make an electrical installation for <br /> <br /> <br />