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MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br /> ELECTRICAL PERMIT <br /> 220 High Street NE <br /> Salem. Oregon g7301 <br /> Ph: 588.5147 <br /> <br />[ Electrical I~us. I ~ ~'7~' ~ Home Builders <br />License No, Registration No- <br /> <br /> Wil] cell for inspectio~ ~L~. / <br />Bldg. Permit # ~7/~', <br /> <br />Address; .. <br /> <br />RESIDENTIAL <br /> <br />No¸ <br /> <br />Residence wiring less than 10(30 ag. ft ............................................. <br />Residence wiring less than 2000 so. ft ............................................. <br />__ Residence wi ring over 2000 so. ft .......................................... . ...... <br />__ Electric heat insta{lation in existing resfclence .................. · ................... <br /> <br /> SERVICES <br /> <br />__ Tempora~ Construction Service ................................................ <br /> ~ervlce change only in an existing residence ...................................... <br /> <br />COMMERCIAL OR INDUSTRIAL: <br /> <br /> Service not over 1 O0 amperes .................................................... <br /> Service over 100 amceres but not more than 200 amperes . ............... '. ......... <br /> Service over 200 amperes but not more than 400 am peres ........... , ............. <br /> Service over 400 amperes but not more than 600 amperes .......................... <br /> Service over 600 am peres ....................................................... <br /> Service over 600 volts ........................................................... <br /> <br /> MISCELLANEOUS <br /> <br /> A $5,00 Label shall apply for the following installations: <br /> <br /> A, Ee¢h servi~e for mobile home .................................................. <br /> <br />Amount <br />Received <br /> <br />@ $ lO.~Oea. $ <br />~ $ 15.00aa, <br />@ $ 20,OOea. ' <br />@ $ <br /> <br />@ $ 5,00ea. · <br />(~ $ 5,00ea. <br /> <br />@ $ 10.00aa <br />@ $-15,00ea, . <br />@ $ '25,00aa, <br />@ $ .35,00ce, <br />@ $. 45.00ea. · - <br />@ $100.00ea. - <br /> <br />~ $ 5,00ea. ' <br /> <br />,.~ B, Mobile home connection ................................................... @ $ 5.00ea. ' ~ '-~-"- ~ ® C~ <br />C Eachfarmbuildingotnerthabresidence ....................................... @ $ 5,00aa, <br />__ D. Eachimgat;on pump ....................................................... @'$ 5.00aa, <br />E, Eachelectrlcs~gnoroutliceligbting ....................................... ~ $ 5.0One .... <br />---- F, Each res)dentlalswlmming pool ............................................. ~ $ 5.00ea. <br /> <br /> BRANCH CIRCUITS <br /> <br />__Onenewctrcutt:alterationocextension ....................................... @ $ 5,00ea. <br /> Twoormorenewc~rcu~lS alterationsorextansion ............................... @ $ 10.00 <br /> TOTAL $ <br /> <br /> GRAND TOTAL $ ~ <br /> <br />I agree to make the electrical installation according to the sgbmitted ~f&ns an~ specifications, the laws 0f the State of Oregon and the Ordlnances of <br />MariOb County. Permit expires if work ~ot commenced within 120 dai/s, ', ' , <br />$1GNATUREQFAPPLICANT: ~ ~ ~~ . ; <br /> <br /> <br />