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BUILOtNG INS?~CID~ <br /> <br />MARION COUH'I~.BUILDING INSPECTION <br /> ~'~enator Bleg. NO. 22S <br /> 220 High Street NE <br /> ~ralem, Oregon 97301 <br /> <br /> Phone 56~-5147 <br /> Code-A-Phone 4:30 P.M. - 8:00 A.M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Electrical~H~! "~ ,~ ~ Phone: Address: <br /> <br />S u p?visi~lect r icia n~, ~ ~ P~one; Address: <br />Electr~ce. Con,a~o~ NO,:' -- . [.. ~ y__ ~~ -- -- - Home Builder, Reg/ctration No.: . i~ ' <br />Supe~isJng /~ ~ ~ Uceof New , Addition ~ Occupancy <br />Electdclan~ No.: Bui]ding: Alteration ~ Relocation ~ Change <br /> <br /> No. RESIDENTIAL l- <br /> Residence wiring less than 1000 sq, ft, @ $ 30.00 <br /> Residencewiringlessthan2000sq. ft, iiiiiiiiiiiiiiil;i;i;;;iil;;i;;; @$ 50.00 <br /> Residence wiring over 2000 sq. ft ................................... @$ 70.00 <br /> Electric heat instaJlation in existing residence ........................... @ $ 20,00 <br /> SERVICES <br /> Temporary Construction Service ..................................... @ $ 20,00 <br /> Service change oniy in an existing residence .......................... @$ 20,00 <br /> Commenclsl or Industrial: <br /> Service not over lOO amperes ....................................... @ $ 30,00 <br /> Service over 100 amperes but net more than 200 amperes ................. @$ 50.00 <br /> Service over 200 amaeres but not more than 400 ama, eras ................. @ $ 70,00 <br /> Serviceover400amperesbutnot morethan600amceres ................. ~ $ 100,00 <br /> Service over 600 amperes ........................................ @$ 130.00 <br /> __ Service over 600 volts ............................................. @ $ 300.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders,* <br /> Not more than 100 amperes ........................................ @ $ 20.00 <br /> Owgr 100 amperes but not more than 200 antares ....................... @ $ 30,00 <br /> Over 200 amperes Out not more than 400 amperes ....................... ,95 5O.O0 <br /> Over 400 amperes ............................................... @ $ 60,00 <br /> Feederover600volte ............................................. @ $ 80.aa <br /> MISCELLANEOUS <br /> A. Eechtreilerormobtlehomespace(sewiceequipment) .................. @$ 20.00 <br /> B. Each supply for mobile home (Connemion) ........................... @ $ 20,00 <br /> C, Each irrigation pump (Attach ~ map showing location) ..................... @ $ 20.00 <br /> 13, Each electdc sign or outline light{ng ................................ @ $ 20.00 <br /> E. Each residential swimming pool .................................. @ $ 20,00 <br /> BRANCH CIRCUITS <br /> One new circuit; alteration or extension ............................... @ $ 15.00 - <br /> "--T'- Two or more new circuits: alterations or extensions ....................... @ $ 20.00 <br /> Other (as per NEC end Building Official) ......................................... <br /> On-Site Technical Review (apply directly at Marion County only) ................. <br /> Industrial PJant inspection (apply directly at Marion County only) ..................... <br /> Reinsoection Fee .......................................................... <br /> FEE <br /> STATE SURCHARGE / ~, ~.~, <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> ....... INVESTIGATION FEE _ : _ <br /> with ~ne ino~camo Tee, FLEET SURCHARGE <br /> <br />I- HOMEOWNERS/JembyTeH~fy"-a/t lam/eowner of the property described above, at which location I prepcee to make an electr~celinstailetioc for <br /> <br /> <br />