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Received Sy <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator BIdg.. No. 225 <br /> 220 High Street NE <br /> .., Salem, Oregon 97301 <br /> Phone 588-5147 <br /> Code-A.Phone 4:::30 F,M- - 8:00 A,,M. <br /> <br />Job Address <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Supervising Electrician <br /> <br />Electrical Centracfor:s No, <br /> <br />Address:: <br /> <br />Phone:: <br /> <br />Cross ~reet;; <br />Address:: <br /> <br />Phone:; Address;: <br /> <br />Home Builder's Registration No <br /> <br />Supervising Use of t', /. Residential ~ New [;~ Addition [] Occupancy <br /> <br /> No.. RESIDENTIAL <br />__ Residence wiring lessthan 10008q ft ......... @ $ 5000 <br />__ Residence wiring less than 2000 sq ft ........... ('~ $ 75,00 <br />..... Residence wiring over 2000 sq ft ............. @ $ 10500 <br />__ Electric heat installation in existing residence .... @ $ 80,00 <br /> SERVICES <br />/ Temporary Construction Service ....... @ $ ,30 00 <br />__ Service change onlyin an existing residence ........... @ $ @0,00 <br /> Commemtal or Industrial: <br />__ Service not over 100 amperes ............. @ $ 45 00 <br /> Service over 100 amperes but not more than 200 amperes @ $ 70,00 <br />__ Serviceover200amperesbutnotmorethan400amperes ........ @$ 100,00 <br />__ Serviceover400amperesbutnotmorethan600amperes @5 150,00 <br />____ Service over 600 amperes ............ @ $ 20000 <br />__ ServiceoverS00volts ........ @ $ 450,00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> ir~atallafion of Alterations or Relocation of Distribution Feeders: <br />__ Not morethan 100amperes ........... @ $ 2500 <br />__ Over 100 amperes but not more than 200 amperes .............. @ $ 40 00 <br />__ Over ~00 amperes but not more than 400 amperes ~ $ 70 00 <br />__ Over400 amperes ............. - .... @ $ 8500 <br />__ FeederoverC00volts ........ ~c~ $ 120,00 <br /> MISCELLANEOUS <br />........... A Each trailer or mobile home space (Serviceequipment) ............ CcC $ 25,00 <br />__ B Each supplyfor mobile homet¢onneotion) @ $ 2500 <br />__ C Eachirrigationpump(Attachamapshowinglocatior~) @$ 30,00 <br />__ B, Eachelectriesignoroutlinelighting ~'$ 3000 <br />__ E Each swimming pool{,bonding) ~ $ 3000 <br /> BRANCH CIRCUITS <br />__ Onenewcircult;elterationerexten$~en C_PS 2000 <br />__ Twoormorenewcircuits;elterationsorextensions ~? $ 3000 <br />__ Other (as per NEC and Building Official) <br /> <br /> __ On-Site Technical Review (apply directly at Marion County only) <br /> __ Industrial Plant Inspection (apply directly et Marion County only) <br /> __ Reinspeetion Fee ~' $ 2000 <br /> FEE <br /> STATE SURCHARGE <br /> Please return COMPLETE APPLICATIO~N E.¢~,~ <br /> with the indicated fee,, // d'/2 INVF,~TIGATION F~F~&~T~RF~EE ':F (~ u <br /> <br />$ iS N ATU R E 0 F Ap p LiC~,,f~. /.~,~?)~,/¢ rd ~.~r ~¢/~._1 agree to make tho electrical~,,~co ~e~mitted_ pfinstall ' accoming e mitred plans_and specifications, the laws of the State of Oregon and the Ordinances of~TobMarion ~o.C°u~Y-- <br />~, HOMEOWNERS - I hereby certify that I am the owner of the property described above, at which Iocatio,~,,I propose to make an electrical installation for <br /> my own use and this property is not bain9 constructed for sale, lease or rent <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> <br />