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Received By:: <br /> <br />Date:;. <br /> <br />MARION COUNTY BUILDING INSPECTION <br />~en~or Bldg. NO. 225 <br />220 High Stn~a NE <br /> Salem. Oregon 97301 <br /> <br /> Phone 588~5147 <br /> Code-A-Phone 4:30 EM. - 8:lXl A.M, <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Owner' Phone- Address;; <br />Bob R. Lankf.or~ ............ 692-5513 .6.~_45 SW N¥[;~-q Rd, Tualat.in...Qr <br />Situs Address:: Site No,;; Cross Street:: <br />1692 Warbler Lane..N..,.E. Aurora. Or 97002 ........ <br />Electrical Firm, Phone:: Address;: <br />Parkin Electric 246,1 30_1___ ]FJ~ 7qK~h~rw~od. Or 97140 <br />Supervising Electrician, Phone:: Address:: <br />.qarry Parkin Same Same .......... <br />Electrical ContractoFs No, Home Builder% Registration No,:: <br />~@~@@~§@ 34-4C 351 57 <br />Supervising Use o'f'" New [] Addltlee [] ' O'~upanCy <br /> Electrician% No,,:: ~,9,~ Building:: ...... Alteration [] Relocation [] ........... Change [] <br /> <br /> No, RESIDENTIAL <br />__ Residence wiring less than 1000 sq f~ ........................................ @ $ 30.00 <br />__ Resldencewiringlessthan2000sq,,ft @$ 50,00 <br />__ Reeidencewlrlngover2000sq, ft @$ 70,00 <br />__ Electric heat installation in existing residence @ $ 20,00 <br /> SERVICES <br />__ TemporaryCanstruct~onService @$ 2000 <br />__ Service change only in an existing msldence .................. @ $ 20.00 <br /> Commercial or Induatrtah <br />__ Servicenotoverl00ampsres ........................ @$ 30,00 <br />__ Service over 100 amperes but not more than 200 amperes .............. @ $ 50.00 <br />__ Serviceover200amperesbutnotmorethan400amperes ................ @$ 70,00 <br /> Service over 400 amperes but not more than 600 amperes .............. @ $ 100,00 <br />__ Serviceover600amperes ...................... @$ 130,00 <br />__ Serviceover600volts ................................................ @ $ 30000 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Di~ribution Feeders: <br />__ Not morethan 100 amperes ........................................... @ $ ~000 <br />__ Overl00arnperesbutnotmorethae200amperes @$ 3000 <br />__ Over~00amperesbutnotmorethan400amperes @$ 50,00 <br />__ Over400amperes @ $ 60.00 <br />__ Feederover600volts @$ 3000 <br /> MISCELLANEOUS <br /> A. Each trailer or mobile home space (Sarvi~e equipment) @ $ 20,00 <br /> B, Eachsupplyformobilehome(ConneCtion) @$ A000 <br />__ C, Eachirrigationpurnp(Attachamapshowlnglo~ation) ............. @$ 20,,00 <br />__ D Eachelectricslgnoroutlinelighting @$ 2000 <br />__ E Each residential swimming pool @ $ 20.00 <br /> BRANCH ClRCUI'~ <br />__ Onenewcimuit;alterationorexteeslon @$ 15.00 <br />__ Two or more new circuits; alterations or extensions @ $ 2000 <br />__ Other (as per NEC and Building Official) <br />__ On.Site Technical Review (apply direct fy at Marion County only) <br />__ Industrial Plant Inspection (apply directly at Marion County only) <br />__ Reinspectiee Fee <br /> FEE <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> INVESTIGATION FEE <br />with the indicated fee, FLEET SURCHARGE <br /> TOTAL <br /> <br />I agree to make the electrical Installation ac to submitted plans and apeeificatiot~s, the laws of the 3tats of Oregon end the O~dinaneee of Marion County, <br /> <br />[] HOMEOWNERS - I hereby certify that I am the owner of the preperfy described above, at which location I propose to make an electr~cat iestallatlon for <br /> <br />SIGNATURE OF APPLICANT; ., <br /> <br />MC 15-34 <br />Rev 3/87 <br /> <br /> <br />