Laserfiche WebLink
Received By; <br />Date: <br /> <br />MARION COUNTY BUILDING INSPECTION <br />~enator [lldg. NO, 22S <br />220 High Street NE <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />I Phone; <br /> <br />Phone; <br /> <br />~Phone; <br /> <br /> own . " . ..... <br /> <br />/ jectrical Firm; / <br /> Supore~gEle~tdeian:/ - *. - - <br /> <br /> Electrical Contractor~ No.; -- t <br /> <br /> Home Builder~ Registration No,; <br /> <br />Supervising Use ef ReSidential '" <br />Electriclen~No~)~5,,, Building: Commercial [] I AIteratlon[] <br /> <br /> No. RESIDENTIAL <br /> ~__ Residence wiring less than 1000 sq- ft ................................. @ $ 50.00 <br /> ___ Residence wiring Ieee than 2000 sq, ft ................................. ~- $ 75.00 <br /> __ Residence wiring over 2000 eq. ft .................................... @ $ 105.00 <br /> Electric heat installation in existing residence ........................... @ $ 30.00 <br /> SERVICER <br /> __ Temporary Construction Service ..................................... (¢ $ 30.00 <br /> __ Servicechange only in an existing residence ........................... ~ $ 30,00 <br /> Commerelal or Industrial: <br /> __ Service notover 100 amperes ....................................... @ $ 45,00 <br /> Service ever 100 amperes but not more than 200 amperes ................. (~ $ 70.00 <br /> __ Rervlceover200areperesbutootmorethen4BOamperee ................. @$ 100,00 <br /> ..... Service over 400 amperes but not more than 600 amperes ................. @ $ t $0,00 <br /> Serv~ceover600amperee ......................................... C¢$ 200,00 __ <br /> __ Service over E00 volts ............................................. (¢4) $ 450.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocafloll of Distribution Feeder¢: <br /> Not more than 100 amperes ........................................ @ $ 25,00 <br /> __~ Overlggampereebutnetmorethat~2g0emperes ....................... @$ 40.00 <br /> __ Over200emperesbutnotmorethan4O0amperes ....................... ~$ 70,00 <br /> Over400amperes ............................................... @ $ 85.00 <br /> Feederover 600volts ............................................. ~s $ 120.00 <br /> MISCELLANEOUS <br /> ,.~ A, Eaehtfai[eformobilehomeapace(Servk:eequipment) .................. @$ 25,00 <br /> _ B. Each supply for mobile home (Connection) ........................... ('~ $ 25.00 <br /> ____ C, Eachirrlgationpump(AttaghamapshowJnglegatlon) ..................... _@$ 30.00 <br /> D, Each electric sign or outline lighting ................................ ~-¢ $ 30.00 <br /> __~_ E. Eachswimming pool(bonding) ................................... @ $ 30.00 <br /> I~RANCH CIRCUITS <br /> . One new cfmuit; alteration or extension ............................... ('(~ $ ~0.g0 <br /> ~, Two or mere new circuits; alterations or extensions ....................... @ $ 30.00 <br /> __ Other (es per NEC and Bulldir~g Official) ......................................... <br /> .... On-Site Technical Review (apply directly atMarloo County only) ...................... <br /> __~ industrial Plant inspection (apply directly at Mad0n County ollly) ...................... <br /> _. Reinspeetlan Fee ................................................ (,:s $ 20.00 <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 />Addition [] ~,...4Dccu pancy <br />Relocation ~ Change [] <br /> <br /> agree ,0 make the elect rioej ~rl.tallstic. a0c~r4~g ./~'~he aubrClttetJ plans ~d speoifJ0atJon8,, the~ws of th~State of O~go. a.d the Ordl~a.oes of Marlo. County. <br /> <br />~ HOMEOWNERS ~ I hereby certify that I am lhe owner of the property descried above, at which location I propose to make an electrical ins~llati0n for <br /> my own use and this property is not being Constructed for sale, lease or rent. <br /> <br />SIGNATURE OF APPLICANT' <br /> <br /> <br />