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Received Byr <br />Bate', <br /> <br />MAfRION"IDOUNTY BUILDING INSPECTION <br />'~enator Bldg. NO, 225 <br />220 High Seeet NE <br /> Salem! Oregon 97301 <br /> Phone 588-5147 <br /> CoCa-A-Phone 4:30 P.M, - 8:00 A.M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Owner" .............. . ../ .................... <br />Z.~c~g2~ ~4. ~/~'/~ ~ ~/--~j~/ ~'~,e~/~''~Ph°ne: Mail[ng~dress: <br />J6b~dress: ----- ~ ~ . Site No.: C~ss Street: <br />El mrical rlrm; ~one: ~dmss: ~ <br /> <br />Electrical ~ontrec~r ~ No,; ..... Home Builder~ Regi¢tration No,; "' <br />Supe~fsing ",,' Use of Residential ~'""" ,,,,,New ~ ............. Addition ~ Oecupan~ ..... <br />Electriclan~ No,; Building; Commercial ~ Alteration ~ Relocation ~ Change ~ <br /> <br /> No. RESIDENTIAL <br /> __ Residencewiring iessIhan 1000 sq. ft ................................. @ $ 30.00 <br /> __ Residencewiringlessthan2OOOsq. ft ................................. @$ 50,00 <br /> -- Residence wiring ever 2000 sq. fi .................................... @ $ 70,00 <br /> __ Electric heat Inslelletion is existing residence ........................... @ $ 20,00 <br /> <br /> __ Temporary Construction Service ..................................... C_4~ $ 20.00 <br /> Service change only In an existing rp-~idence ........................... @ $ 20.00 <br /> Commerctalorlnduetrial: ~' ~ ..., '~ ~ \ <br /> <br /> Service over 100 amperes but not more than 200 amperes .... .~ .......... ~$ 50.00 <br /> f <br />  Service over 200 amperes but not more than 400 amperes ................. @ $ 70,00 <br /> Service over 400 amperes but not more than 600 amperes ~.} $ 100.00 <br /> Serviceover600amperes ........................ ::;::::::::;::',:: (:~? $ 130,00 <br /> ~ Serviceover600volts ......... .................................... @ $ 300,00 <br /> COMMERCIAL AND iNDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br /> __ Not mom than 100 amperes ........................................ @ $ 20.00 <br /> -- Overl00amperesbutnotmorethan200amperes ....................... @$ 30.00 <br /> -- Over200amperesbutnotmorethan400amperes ....................... @$ 50.00 <br /> __. Over 400 ~mpems ............................................... @ $ 60.00 <br /> -- Feederover600volts ............................................. (?~$ 80.00 __ <br /> MISCELLANEOUS <br /> __ A. Eachtreilerormobilehomespace(Sarviceequipment) .................. @$ 20.00 <br /> __ B, Each supply for mobile home (Connection) ........................... @ $ 20,00 <br /> __ C, Each irrigation pump (Attach a mapahowing location) ..................... ~ $ 20.00 <br /> .,__ O. Eachelectrlcsigneroutlinelighting ................................ @$ 20.00 <br /> __ E, Each residential swimming pool .................................. @ $ 20,00 <br /> BRANCH ClRCUIT~ <br /> __. One new clmuit; alteration or extension ............................... @ $ 18.00 <br /> __ Two or more new circuits; alterations or extensions ....................... @ $ 20,00 <br /> __ Other (as per NEC and Building Official) ......................................... <br /> -- On-Site Technical Review (appry directly at Marion County only) ...................... <br /> Industrial Plant rnspection (apply directly at Marion County only) ...................... <br /> .__ Reinspection Fee ................................................ @ $ 15.00 <br /> <br /> Please return COMPLETE APPLICATION - PLAN REVIEW FEE <br /> with the indicated fee. INVESTIGATION FEE <br /> FLEET SURCHARGE % <br /> TOTAL '.$ .~rJ/,, ~' " <br /> I agree to make the electrical In~t~c¢ording to the submlSed p~nd ,Specifications, the lAWS of the StAte of Oregon end the Ordinances of Marion County. <br /> <br />~ HOMEOWNERS - I hereby certify that I am the owner of the preperty described above, at which location I propose to make an electrical Installation for <br />*" my owe use and this proper~ing constructed for sale, le~e or rent. <br /> <br /> <br />