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Received By:: <br />Date' __ <br /> <br />MARION COUNTY BUILDING INSPECTION <br />Senator $1dg,, NO, 225 <br />220 High Street NE <br /> <br /> Phone 588-5147 <br /> <br /> ELECTRICAL PERMIT APPLICATION <br />Owner Phone Mailing Address <br /> Cross Street:: <br /> <br />Job,~,ddress:: <br /> <br />Electrical Firm:: <br /> <br />Address:: <br /> <br />Supervising Electrician Phone:: Address:: <br /> <br />Electrical Contractor's NO Home Builder's Registration No:: <br /> <br />Supervising Use of Residential F' New [] Addition E~ Occupancy <br />Electrician's No Building:: Commercial [] Alteration [] Relocation [] Change [] <br /> <br /> No, RESIDENTIAL <br /> R~esidence w~i~_[ess_than_lfl,0.0~_~,ft_ ........... ~ $ 5000 <br /> ~,%(,,_ (~_eslderrc~lring less than 2000 sq ft~ ........ ~_~ $ 75.00 <br /> Re~ncerwitIfE,,Y'~Jv~r 2.~ "~' ........ (q~ $ 10500 <br /> __ Electric heat installation in existing residence ~ $ g0,00 <br /> SERVICES <br /> .~.~r~, Temporary Construction Service ........... L~ $ g000 <br /> ____ Service change only in an existing residence ...... (-¢_ $ 30.00 <br /> Commercial or leduetrlah <br /> __,_ Service not over 100 amperes .......... ~ $ 45 00 <br /> __ Service over l00 amperes hut not rnore than 200 ampere5 ..... @$ 7000 <br /> .... Service over 200 amperes but not more than 400 amperes @ $ 100.00 <br /> __ Service over 400 ampere5 but not more than 600 amperes ........ @ $ 15000 <br /> ---, Service ever 600 amperes ......... @ $ 200,00 <br /> Service over 600 volts ....... ('(x~ $ 45000 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br /> __ Not morethan 100amperes ......... ~, $ 2500 <br /> __ Overl00amperesbutnotmorethan200emperos ......... ~,$ 4000 <br /> Over 200 amperes but not more than 400 amperes @ $ 70.00 <br /> .... Over 400 amperes ............... (-ct3 $ 8500 <br /> __ FeederoverE00volts ............ @$ 12000 <br /> MISCELLANEOUS <br /> A Each trailer or mobile home space ($ervico eduipment) ......... C<~ $ 2500 <br /> __ cA, Eachsupplyformobile home(Connection) ...... (~' $ 2500 __ <br /> __. C Each irrigation pump (Attach a map showing location) ......... ~[/$ 30,00 <br /> .... D Eschelectricsignoroutlinelighting ~$ 3000 __ <br /> __ E Each swimming pool (bonding) @ $ 30,00 <br /> BRANCH CIRCUITS <br /> __ One new circuit; alteration or extension L"¢ $ 20 00 <br /> Two or more new circuits= alterat one or ex ens ons (pS 3000 <br /> __ Other (as per NEC and Building Official) <br /> ..... On-Site Technical Review (apply dirocfly at Marion County only) <br /> __ IndustrialPlantlnspection applydirectlya MaronCounyony) <br /> ..... Reinspection Fee ¢¢~ $ 20 O0 <br /> ,S._~ ~E ~ ',-~,-,~--~ <br /> /¢TA E SURC,AR E <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> with the indicated fee,, INVESTIGATION FEE <br /> FLEET SURCHARGE <br /> TOTAL <br /> <br />I agree to ma~<e the e~ectncal installation according to the :~ubmltted plans and specifications, the laws of the State of Oregon and the Ordinances of Mariof3 County <br /> <br />SIGNATURE OP ~.PPL CANT. ,..T O ~) ~Ot <br /> <br />HOMEOWNERS - I hereby certify that J am the owner of the proper~y described above: a wh ch ocs on I propose to make an electrical instaHabon for <br />my own use and this property is not being constructed for sale, lease or rent, <br /> <br />SIGNATIJRE O¢ APPLICANT <br /> <br />MC 15-34 (Ow nor deles his own w°rkl <br />Rev 12/88 <br /> <br /> <br />