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Received By: <br /> <br />MARION COUNTY~BUiLDING iNSPECTION <br />Senator BlSg, NO. 225 <br />220 HIgll Street NE <br /> Salem, Oregon g7301 <br /> <br /> Phone 588-S147 <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Owner; Phone: <br /> <br />Supervising Electrician: <br /> <br />Site NO.: <br /> <br />Marling Address: <br /> <br />Cross Street: <br /> <br />Phone; Address; <br />Phone; Address: <br /> <br />Electdcel Contractor's No,: <br /> <br />Home Builder's Registration No,i <br /> <br />Supervising Use of Residential [] New [] Addition [] Occupancy <br />Electrician's NO.; Euildlng; Commemial [] Alteration [] Relocation [] Change [] <br /> <br /> No. RESIDENTIAL <br />__ Residence wiring lessthan lO00 sq. ft ................................. @ $ 50.00 <br />L Residence wiringlessthan 2000 sq. fr ................................. @ $ 75,00 <br />__ Residence wiring over 2000 rcq, ft .................................... @ $ 105.00 <br />,___ Electric heat installation in existing residence ........................... @ $ 30,00 <br /> SERVICES <br />,__ Temporary Construction Service ..................................... @_ $ 30,00 <br />Service change only in an existing residence ........................... @ $ 30,00 <br />Commercial or Industrial: <br />~.~_ Servlcenotover 100 amperes ....................................... @ $ 45,00' <br />__ Service over 100 amperes but not more than 200 amperes ................. @ $ 70,00 <br />__, Service over 200 amperes but oct more than 400 amperes ................. @ $ 100,00 <br />.... Service over 400 amperes but not more than 600 amperes ................. Cu~$ 150,00 <br />__ Service over 600 amperes ......................................... (¢ $ 200.00 <br />__ ServiceoverC00volts ............................................. @ $ 460.00 <br /> COMMERCIAL AND INDUSTRIAL FIFIFDERS <br />Inatallation of Alterations or Relocation of Distribution Feeders: <br />__ Not morethan 100amperes ........................................ @ $ 25.00 <br />...... Over 100 amperes but not more than 200 amperes ....................... @ $ 40.00 <br />,__ Over20Oamperes~utnotmorethan400amperee ....................... ('¢$ 70.00 <br />__, Over400amperes ............................................... @$ 85,00 <br />.... Feeder over 600 votfs ............................................. @$ 120.00 <br /> MISCELLANEOUS <br />___ A. Each ttaller or mobile home spaoe (Service equipment) .................. @ $ 25.00 <br />S, Each supply for mobile home (COnnection) ........................... (~? $ 26.00 <br />__ C, Eachirrigation pump (Attach ~ mapshowlnglocation) ..................... @ $ 50.00 <br />.... D, Each electric sign or outline lighting ................................ @ $ 30.00 <br />-- iF, Eachewimmingpaol(bondlng) ................................... @$ Sg.og <br /> BRANCH CIRCUITS <br />__ One new clmuit;alteration or extension ............................... (¢~ $ 30,00 <br /> <br />~.,_ Twoormorenewcircuits;alteretionsorextensions ....................... (,z~$ 30.00 <br />~__ Other (es per NEC aed 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 RIFVIEW FEE <br />with the indicated fee. INVESTIGATION FEE <br /> FLEET SURCHARGE <br /> <br />[] HOMEOWNERS - I hereby.~tlfy,,Cat I am th_,,~e~vne~c/tf)e property describ~ above, at which location I propose to make an electrical Installation for <br /> my own use and this preper/C//4s ~5/Vb e i n g._c~,.~ t e~/¢ I e, lease or rent, <br /> <br /> <br />