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MARION COUNTY BUILDING INSPECTION <br />Senetor Bldg, NO, 225 <br />22e High Street NE <br /> Salem~ Oregon 97301 <br /> <br /> Phone 588-5147 <br /> Code-A-Phone 4:30 P M.- 8:00 A.M, <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Own ' ..................... Phone;: Maiii'~g Address:': ................... . ...... ~~ <br />Elec' aIFirm Phone Address, <br /> <br />Electrical Contra~or's No:: Home ~uJlder~ Registration No <br /> New ~ Addition ' '"~ Occupancy <br />E~ectrlclen~ No. Building:: ~/~/~a,'h I-~A , I Commercial~ ~ ...Alterati°n ~ Relocatio, ~ .Change <br /> <br /> No. RESIDENTIAL <br /> __ Residence wiring lessthen 1000 sq ft ........... @ $ S0 00 <br /> / Residence wiring less then 2000 sq fl ...... @ $ 75 00 <br /> .......... Residencewiringover2000s~ ft ............. ~$ 105,00 <br /> __ Electric heat in~tellation in existing residence ....... @$ 3000 <br /> SERVICES <br /> __ TemporaryConstructionService ............ ~;$ 30.00 <br /> ____ Service change onlyin an existing residence .............. @ $ 30,00 <br /> Commercial or InduetrleE <br /> __ Service not ever 100 amperes ......... @ $ 45,00 <br /> __ Service over 100 amperes but not more than 200 amperes ........... @ $ 70,00 <br /> __ Service over 200 amperes but netmore than 400 amperes @ $ 100,00 <br /> ___ Service over 400 amperes but not mom than 600 amperes ..... @ $ 15000 __ <br /> __ Service over 600 amperes .............. @ $ 200 00 <br /> __ Service over 600 volts ............... @ $ 45000 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br /> __ Not more then l00 ernpere$ ......... @$ 2500 <br /> __ Over 100 amperes but not more then 200 amperes @7 $ 40,00 <br /> __ Overg00ampere~;butnotmorethan400arnperes .... @$ '7000 <br /> __. Over400emperes ............. @ $ 85,00 <br /> __ Feederover600volt$ ..................... @ $ 12000 <br /> MISCELLANEOUS <br /> __ A,, Eaohtrailerormobilehomespece($ervioeequipment) @$ 2500 <br /> __ B Eachsupplyfor mobile home(Connection) ............. @ $ 2500 <br /> __ C Each Irrigation pump(Attach amapshowingiocation) @ $ 30 00 <br /> __ D Each electriosignoroutlinelighting @ $ 30,00 <br /> ___ E Eachswimmingpool(bonding) ........................ @$ .3000 <br /> BRANCH CIRCUITS <br /> __ One new circuit; alteration or extension @ $ 20 00 <br /> .__ Twoormorenewcircuits:;alterationsorextensions ...... @$ 3000 <br /> __ Other (as per NEC and Building Official) ..... <br /> __ On-Site Technical Review (apply directly et Marion County only) <br /> __ Industrial Plant Inspection (apply directly at Marion County only) ........... <br /> __ Reinspection Fee @ $ 2000 <br /> FEE <br /> STATE SURCHARGE <br /> Please return COMPLETE APPLICATION <br /> INVESTIGATION FEE <br /> with the indicated fee,, FLEET SURCHARGE <br /> TOTAL <br /> <br />I agree to make the electrical installation ~c¢ording to the submitted plans and specifications, the laws of the State of Oregon and the Ordinances of MaSoN County <br />SIGNATURE OF APPLICANT <br /> <br />~ HOMEOWNERS - I hereby certify that I em the owner of the property described above:, at which location I propose to make an electrical installation for <br /> my own use and this property is not~b.eing constructed for sele, I_~._e es~.~ r rent <br /> <br />Rev 12/88 <br /> <br /> <br />