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MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br /> <br /> ELECTRICAL PERMIT <br /> <br />$1dg Permit# <br /> <br />Elec Permit # <br /> <br />[ ~L~i Cu~e,.n~s~ I"1 ° ~ ~ [ I Home Builders <br />Electrical Bus Rag strat on No, <br /> <br /> O Addre. <br /> Sho <br /> Owner or Supe~isor Phone A~re~s <br /> <br />Elect,, Contractor Phone Address <br /> <br /> RESIDENTIAL <br />NO <br /> <br />__Residencawiringlessthanl000aq ft .................. @ $ 1000ea <br />__ Reaidencewirieglesathan200Osq,,ff .................................................................... @ $ 1500aa <br />--. Residencewirlngover2000sq ft @ $ 2000aa <br />__Electrtcheatinateltationinexiatiegresidence @ $ 500aa <br /> <br /> SERVlCEB <br /> <br />__ Temporary Construction Service @ $ 5 00aa <br /> , Servicechangeonlyinanexistingresidence ........................................................ @ $ 500aa, <br /> Mulflfamily With Central Service, Commerical or Industrial:: <br /> <br />__ Serviceeotoverl00amperea @ $ 1000aa <br />ServiceoverlOOamperesbutnotmorethan20Oamperes @ $ 1500aa <br />__Servlceover200amperesbutnotmorethan400amperes @ $ 2500aa <br />, Serviceover4OOampereabutnotmorethan60Oamperes ....................................... @ $ 3500aa, <br /> Servlceover60Oamperes ................. ; @ $ 4500aa <br /> Service over 600 volts @ $10Q00ea <br /> <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> <br /> Installation of Alterations or Relocation of OIstribetlon Feeders:: <br /> Notmorethanl00emperea ....................................................................................... @ $ 500aa <br /> , ,, Overl00amperesbutnotmorethan200amperes ......................................... , , @ $ 10,00aa <br /> Over200amperesbutnotmorethan400amperes .......................... @ $ 1500aa <br /> Over400amperes ........................ @ $ 2000aa <br /> Feederover600volta .................................................................. @ $ 25,,00aa <br /> <br /> MISCELLANEOUS <br /> A $500 Label ah'all apply for the following inateilationa:; <br />.......... A, Eechtrailerormobilehomespace ~ $ 500aa <br />~/ B Eachaupplyformobilehome .................. , ........................ ~'~ $ 500aa <br />__ C, Each farm building otherthan residence @ $ 5 00aa <br /> D Each irrJgation pump ............................................................................... @ $ 5 00ea <br />__ E Eachelectricsignoroutlineiightlng @ $ 5 00aa <br />__ F Each residentialswimming pool ......................................... @ $ 5 00aa <br /> <br /> BRANCH CIRCUITS <br /> <br />-- One new circuit, alteration or extension @ $ <br /> <br />Two or more new circuits; alterations or extension ................. <br /> <br /> 5 00 ea <br />..... @ $ to, oo <br /> <br /> Received <br />$ <br /> <br />TOTAL $ <br />~+~s0/0 ~--~__ <br />GRAND TOTAL $~--~ <br /> <br />I agree to make the electrical installation according to the submitted plans and specifications+ the la.wa of the State of Oregon and the OrdJna noes of <br />Marion County Permit expires if work not commenced within 120 <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> <br />