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Flaeeived By <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator Bldg. NO 225 <br /> 220 High Street NE <br /> Salem~ Oregon <br /> <br /> Phof~e 58e-5147 <br /> Code-A-Phone 4:ao PM. - e;os A,,M,, <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Electrical Firm <br /> <br />S.pervising ~el~j¢ia. <br /> <br />Electr~cal'Cont rectors <br /> <br />Supervising <br /> <br />Phone:: <br /> <br />Site No <br /> <br />Mailing Address:: <br /> <br />Cross Street <br /> <br />Phone:: Address <br />Phone Address:: <br /> <br />Home Builder's Registration No:: <br /> <br />Residential [] New [] Addition [] Occupancy <br /> <br />Commercial FI Alteration [] Relocation ~ Change [] <br /> <br /> No,, RESIDENTIAL <br /> ___ Residence wiring lessthan 1000 sq ft ['i' $ 5000 <br /> ,./-~ Residence wiring less than 2000 sq ft (~; $ 7500 <br /> __ Residencewidngover2000sq ft (~,$ 10500 __ <br /> __ Electric heat installation in ex~stmg residence (a) $ 30 00 <br /> SERVICES <br /> -- TemporaryCons~ructionService (.~i,$ 3000 <br />Service change only in an existing residence ¢'c~ $ 30 O0 <br />Commercial or Industrial: <br />__. Service net over 100amperes ('ti' $ 45,00 <br />Service over 100 amperes but not more than 200 amperes rc$ 7000 <br />__ Service over 200 amperes but not more than 400 amperes (i~' $ 100 O0 <br />_ _ Service over 400 amperes bu not more hen 600 amperes go, $ 150 O0 <br />__ Servieeover6OOamperes ~;:i,$ 20000 __ <br />__ Serviceover6OOvolts (~$ 45000 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relocation of Distribution Feeders: <br />__ Not morethan 100amperes ('_~ $ 25 00 <br />.... Over 100 amperes but not more than 200 amperes ~i~ $ 40 00 __ <br />--- Over200amperesbutnotmorethan400amperes gf~$ 7000 <br />__ Over400amperes 4_~ $ 8500 <br />Feeder over 600 volts (?$ 12000 <br /> MISCELLANEOUS <br />__ A EachtrailerormObilehomespace(Ser~iceequ~pment) ('(~$ ~500 <br /> B Each euppty for mobile home {Conner ,on (.~l~ $ 2500 <br /> C EaehirrigationpumptAttachamaesnowmglocafion) gus 3000 <br /> D Each electric sign or oatlinelighting (¢ $ 30 00 <br />__ E Eachswimmingpool(bonding) (eS 3000 <br /> BRANCH CIRCUITS <br />.... One new circuit:; alteration or extension (ii:$ 2000 <br />__ Two or more new circuits; alterations or extensions ~(i~ $ 30 00 <br />__. Other tas 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 ~¢¢~ $ 20 00 <br /> FEE <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> <br /> with the ~ndicated fee, INVESTIGATION FEE ; <br /> FLEET SURCHARGE .~ <br />t agroo to rnake the electrical installatstall¢/¢/..dJng~~dac ~ding to the ' te d spoc~ficatior~s the la*s of the State of Oregon and the Ordinances of Marion County <br /> <br />[] HOMEOWNERS - I hereby certify that I am the owner of the property described above, at which location [ propose to make an electrical installation for <br /> my own asa and this property is not being constructed for sale, lease or rent <br /> <br />SIGNATURE 0~' APPLICANT <br /> <br /> <br />