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Received B~: <br />Date~' <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator BMg. No. 225 <br /> , 2~'0 H!gh ~tl~et NE <br /> t[~tlem, Oregon ~01 <br /> Phon~8~$147 <br /> COae~A*Phone 4:30 RM. - 8:00 A.M, <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Ow,er: ..... . Phone: Mailing Address: ~ ~.t ii <br />Job Addre88:/ Site No,: Cross Sleet: <br />Electrical Firm: Phone? Address; <br />upervisingElectrician; Phone: Address: ........ <br /> <br /> Electrical Contra'ctor~ No.: ........... Home Buil~e'~'~ Registration No.: ........ <br /> <br /> Supervising Use of ~ Residential ~ New ~ Addition ~ O~upancy <br /> Ele~rician~ No.: Building; ~ommemial ~ Alteration ~ Relocation ~ Change <br /> <br />NO. <br /> <br /> RESIDENTIAL <br /> Residence wiring less then 1000 sq, ff ................................. @ $ 30.00 <br /> Residence wiring less than 2000 sq. ft ................................. @ $ 50,00 <br /> Residence wiring ever g000 scl. ft .................................... @$ 70.00 <br /> Electric heat installation in existing residence ........................... L~ $ 20,00 <br /> SERVICES <br /> Temporary Construction Service ..................................... @$ 20,00 <br /> Service change only in an existing ~esldence ........................... @$ 20.00 <br />Commercial or Induetrlah <br />Service not over 100 amperes ....................................... @ $ 30.00 <br />Service over 100 amperes but not more than 200 amperes ................. C~ $ 50.00 <br />Service over gOO amperes but not more then 400 amperes ................. @ $ 70.00 <br />Service over 400 amperes but not more then 600 amperes ................. @ $ 100.00 <br />8erviceover600amperes ......................................... @ $ 180.00 <br />ServiceoverG00volts ............................................. @ $ 300,00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relocation of Distribution Feeders: <br />Nct more than 100 amperes ........................................ @$ 20,00 <br />Over 100 amperes but not more than 200 amperes ....................... @$ 30.00 <br />Over200amperesbutnotmorethan400amperes ....................... (~ $ 80,00 <br />Over400amperes ............................................... @ $ 60.00 <br />Feeder over 600 volts ............................................. @$ 80,00 <br /> MISCELLANEOUS <br />A, Eachtrallerormobilehomespace($erviceequipment) .................. ~__$ 20.00 <br />B, Each supply for mobile home (Connection) ........................... @ $ 20,00 <br />C, Eachirrlgatlonpump(Attachamep8howinglocatlo~) ..................... @$ 20,00 <br />D, Eachelectricsignoroutllnellghting ................................ @$ 20.00 <br />E. Each residential swimming pool .................................. ~ $ 20,00 <br /> BRANCH CIRCUITS <br />One new circuit; alteration or extension ............................... @$ 15,00 <br />Two or more new circults; alterations or extensions ....................... Co~$ 20.00 <br />Other (as per NEC and Building Official) ......................................... <br />On-Site Technical Review (apply directly at Marion County only) ...................... <br />Industrial Plant Inspection (apply directly at Marion County only) ...................... <br />Reinspection Fee ................................................ @ $ 18.00 <br /> Y FEE <br /> STATE SURCHARGE <br />return COMPLETE APPLICATION <br /> <br /> Please PLAN REVIEW FEE <br /> with the indicated fee. INVESTIGATION FEE <br /> FLEET SURCHARGE ~ <br /> <br />I agree to make the electrical lflstaliation according to the submitted plans and specifications, the laws of the $t~te of Oregon and the O~dinan~es of Marion County, <br />SIGNATURE OF APPLICANT: <br /> <br />[] HOMEOWNERS - I hereby certify that I am the owner of the property described above, at which location I prol~ose to ~l~ke an electrical installation for <br /> my own use and this properly is not being constructed for sale, lease or rent. <br /> <br /> <br />