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MARION COU~ITY BUILDING INSPECTION <br />Recei ~ senator Bldg. No,, 225 <br /> <br /> Salem~ O~egon 97301 <br /> <br /> ELECTRICAL PERMIT APPLICATION <br /> <br />Owner <br /> <br />Job Address <br /> ees <br />Electncai Firm <br /> 6 · ....... <br />Supervising Electrician <br /> <br />Eleclrical Contractor~ NO <br /> 2.q-t o--I c, <br /> <br />Site No,, <br /> <br />Phone <br /> <br />Mailing Address:: <br /> <br />Cross Street <br /> <br />Address:: <br /> <br />Address:: <br /> <br /> Home Builder's Registration No:: <br /> <br />Supervising Use of Residential ~ New ~ Addition [] Occupancy <br />Electrician'sNo c~-'~ ~ S Building Commercial'~ Alta:etlon ~ Relocation ~ Change <br /> <br /> No,, RESIDENTIAL <br /> ____ Residence wiring lessthan 1000 sq ft ........... @ $ 50.00 <br /> __ Residence wiring lessthan 2000 sq ft @ $ 7500 <br /> Residence wiring over 2000 sq, ft (?sS 10500 <br /> ____ Electric heat installation in existing residence @ $ 3000 <br /> SERVICES <br /> __ TemporaryConstruction Service @ $ 3000 <br /> __. Service change only in an existing residence ........... (c¢ $ 30,,00 <br /> <br /> __ Service notover 100amperes @ $ 4500 <br /> ___ Service over 100 amperes but not more than 200 amperes ...... @ $ 70 00 <br /> Service over 200 amperes but not more than 400 amperes ¢$ 10000 <br /> __ Service over 400 amperes but not more than 600 amperes @ $ 15000 <br /> __ Serviceover600amperes @$ 200,00 <br /> __ Service over 600 volts C~~ $ 45000 <br /> COMMERCIAL AND'INDUSTRIAL FEEDERS - <br /> Installation of Alterations or Relocatio~ of Distribution Feedera: <br /> __ Not moreth~n 100amperes @ $ 2500 <br /> .... Over 100 amperes but not more than 200 amperes @ $ 4000 <br /> __ Over~00amperesbutnotmorethan400emperes ~$ 7000 <br /> ~,__ Over400amperes @$ 8500 <br /> __ Feederover600volts (~$ 120,,00 <br /> MISCELLANEOUS <br /> I A, Each trailer or mobile home space (~ervioe equipment) ..... (q> $ 25 00 __~,O <br /> --L,_ B Eachsupply for mobile home (Oonnocson) ~ $ 2500 ¢~. <br /> <br /> __ O Each electric sign or outline lighting od, $ 30 00 <br /> E Eachswimmingpool(bonding) ¢~$ 3000 <br /> BRANCH CIRCUITS <br /> One new circuit; alteration or extension ~' $ 20 00 <br /> __ Two or more new circuits, alterations or extensions ~' $ 30,00 <br /> __ Other (as per NEC and Building Official) .... <br /> ___ On-Site Technical Review (apply dire~ly at Marion Coun~ only) <br /> __ Industrial Plant Inspection apply directly a Marion Coun y on y) <br /> Reinspection Fee ...... ((¢ $ 20 00 __ <br /> FEE <br /> STATE SURCHARGE <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> with the indicated fee. INVESTIGATION FEE ~ <br /> FLEET SURCHARGE <br /> <br />SIGNATUREOFAPPLICANT~ /~ ~ ~~ ~ ' <br /> <br />~ HOMEOWNERS-I her~eby certi~ I am the owner or t~~[~;~'~9, ~c~'~'i~r~ location I propose to make an erectric~lnstallation for <br /> my own use and this property is not being constructed for sale lease or re~t <br /> <br />SIGNATURE OF APPLICANT <br /> <br />Rev 12/88 <br /> <br /> <br />