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Received By: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator Bldg, NO; 2¢~ <br /> 220 Higl~-Street NE <br /> Salem, Oregon 97~01 <br /> <br /> Phone S~8-$t47 <br /> Code-A-Phone 4.:30 RM. - 8~00 A.M. <br /> <br />Electrical Firm <br />Supervising <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />IPhone; <br /> <br />Site NO.: <br /> <br />Mailing Address: <br /> <br />Cross Street: <br /> <br />Phone: Address; <br />Phone; Address: <br /> <br />Home Builder~ Registration NO,; <br /> <br />Electrical Contractor% NO,; <br /> <br />Supervising Use of Residential [] New <br />Electrician's No.: Building; Commercial E3 Alteration [] <br /> <br /> No, RESIDENTIAL <br /> ..... Resldence wiring less than 1000 sq, ft ................................. (~$ 50.00 <br />  Residence wiring less then 2000 sq. ft ................................. ~ $ 75,00 <br /> _ Residence wiring over 2000 ag, ft, ('e~ $ 105.00 <br /> Electric heat installation in existing residence ........................... ~? $ 30,00 <br /> SERVICES <br /> ...... TemporaryConstruction Service ..................................... ~.~ $ 30.00 <br /> __ Serv~cechangeonlyinane×ietlngresidence ........................... ~i~$ 30.00 <br /> Commercial or Industrial: <br /> ___ Servlcenotoverl00amperee ....................................... ~$ 4-5,00 <br /> Service over 100 amperes but not more than 200 amperes ................. (ii:~ $ 70,00 <br /> Service over g00 amperes but not more than 400 amperes ................. q? $ 100.00 <br /> .... Service over 4.00 amperes but not more than 600 amperee ................. (il/$ 150.00 __ <br /> .... Service over 600amperes ......................................... ('~ $ ~00,00 <br /> ....... Service over S00 volta ............................................. ~)$ 450,00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br /> Not more than 100 amperes ........................................ ('_~¢ $ 25,00 <br /> ...... Over 100 amperee but not more than 200 amperes ....................... g/) $ 40.00 <br /> ..... Over 200 amperes but not more than 400 amperes ....................... ({~)$ 70.00 <br /> __ OverS00amperea ............................................... (~$ 85.00 <br /> Feeder over 600 volts ............................................. ['~)$ 120,00 <br /> MISCELLANEOUS <br /> A, Each trailer Or mobile home space (Serviceequipment) .................. ~;'~ $ 2~.00 __ <br /> B. Each supply for mobile home {Connection) ........................... (~, $ 25,00 <br /> ...... C, Each irrigatio~ pump/Attach a map showing Iocatlon) ..................... ('n~ $ gO.gO <br /> D. Each electdc sign or outline fighting ................................ (&~ $ 30,00 <br /> __ B, Each swimming pool(bonding) ................................... l? $ 30.00 __ <br /> I~RANCH CIRCUITS <br /> One newcircuit;alteradoe orextension ............................... g/~ $ 20.00 <br /> ____ Two or mere new circuits;alterations or extensions ....................... (ih $ g0.00 <br /> .... Other (as per NEC and Building Official) ......................................... <br /> ...: On-Site Technical Review (apply directly at Mabon County onty) <br /> ____ Industrial Plant Inspection (apply directly et Marion County only) ...................... <br /> ..... Reinspection Fee ................................................ (? $ ~0,00 <br /> FEE <br /> STATE SURCHARGE <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> <br />Addition ~q Occupancy <br />Relocation LJ Change [] <br /> <br /> with the indicated fee. INVESTIGATION FEE <br /> FLEET SURCHARGE [~.~¢'~/' <br />  TOTAL $ ~.~,,~ ~, ~,~_ <br /> agree to make the eloctdc~tl installation acco[ to osubmi s a ications, the laws of the State of Oregon and the Or(finances of Marion County, <br /> <br /> SIGNATUREOFAPPLICANT: " bT©}D ~]O; <br /> <br />E] HOMEOWNERS - I hereby certify that I am the owner of the property described above, at which location I propose to make an electdoal installation for <br /> my own use and this property is not being ccnstruoted for sale, lease or rent, * <br /> <br />SIGNATORE OF APPLICANT: .... <br /> <br />MC 15,34 (Owner doing his own work) <br />Rev, t2/88 <br /> <br /> <br />