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MARION COUNTY <br />BUILDING INSPEC'fl0fl <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Owneri Phone; Mailing Address: <br />Job Addresm Site NO.: C~ss Street: <br /> Phone: Address: <br />Supervising Electrician; Phone: ~O ~ tR O~ q ~ OaO <br />Electrical Contractor~ No,; Home Bullder~ Registration No,: <br />Supe~ising Use of Residential ~ New ~ Addition ~ Occupan~ <br /> Commercial ~ Alteration~ ~ Change <br /> <br /> No. RESIDENTIAL <br />__ Residence wiring less than 1000 s~. ft ................................. @ $ 50,00 <br />__ Residencewiringlessthan2000sd. ft ................................. @$ 75.00 <br />__ Residencewidngevar2000sq. ft .................................... @$ 105.00 <br />__ Electric heat installation in existing residence ........................... ~> $ 30,00 __ <br /> SERVICES <br />__ Temporary Construction Service ..................................... (¢ $ 30.00 <br />__ Servlcechangeonlyinanexistlngresidence ........................... @$ 30,00 <br /> Cornmer~ial or Induatrieh <br />__ Servicenotover 100 amperes ....................................... @ $ 45.00 <br />__ Service over 100 amperes but not more than 200 amperes ................. @ $ 70.00 <br />__ Servlcaover200amperesbutnotmorethan400amperes ................. ~$ 100.00 <br />.___ Service over 400 amperes but not more than 600 amperes ................. @ $ 150.00 <br />__ Service over 600 amperes ......................................... @_ $ 200.00 <br />__ ServiceaverG00volts ............................................. @ $ 450,00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Reloaation of Distribution Feeders: <br />__ Notmorethanl0gamperes ........................................ @$ 25.00 <br />__ OverlOOamperesbutnotmorethan2OOampares ....................... ~$ 40,00 <br />__ Over 200 amperes but not more than 400 amperes ....................... @ $ 78.08 <br />__ Over400amperes ............................................... (~ $ 85.00 <br />__ FeederoverC00voits ............................................. @$ 120.00 <br /> MISCELLANEOUS <br /> ~ A. Each trailer or mobile home space (Service equipment) ....... ........... @$ 25.00 <br /> ¢ E. Each supply for mobile home'(Oonne~lof~). .......................... @ $ 28.00 <br />__ O EachJrrigatlonpump(Attachamapssowinglocation) ..................... (~',$ 38.00 <br />__ D. Each electric sign or outline lighting ................................ (_<~) $ 30.00 <br />____ E. Each swimming pool (bonding) ................................... @ $ 30,00 <br /> BRANCH CIRCUIT'= <br />__ Onenewclrcuit;alterationoraxtension ............................... @$ 20,00 __ <br />__ Twoermorenewcimuits;alteratlonsorextensions ....................... C~i)$ 30,00 <br />___ Other (as per NEC end Building Offlcial) ......................................... <br />__ On. Site Technical Review (apply dire~ly at Madon County erdy) ...................... <br />__ Industrial Plant Inspemion (apply directly at Marion County only) ...................... <br />__ Relnspection Fee ................................................ @ $ 20,00 <br /> FEE <br /> STATE SURCHARGE <br /> <br />~0 ,0o <br />....... ~ ,.%~o -- <br /> <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> with the indicated fee. INVESTIGATION FEE <br /> FLEET SURCHARGE ~7' ~¥ <br /> TOTAL $ 6,~ O · I ~ <br />31G NATO 8 Eog APPL}CANT~/~he~l agroe to mare tho electrical Installallon ~in he Sad plan~~specifioations, the laws of the State of oregon ............... and the Ordinance8 of0_o~>Marion No.C°unty'- <br />[] HOMEOWNERS - I hereby ~er~ify that I am the owne? of the preperty described above, et which location I propose to make an electrical installation for <br /> my own use and this property is not being constructed for sale, lease or rent. <br /> <br />SIGNATURE OF APPLICANT; <br /> <br /> (Owne~r going his own work) <br />MC 15-34 <br />Rev, 12/88 <br /> <br /> <br />