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Reedy for inspection ? <br /> <br />Date: <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br />ELECTRICAL PERMIT <br /> 220 High ~ree~ NE <br /> ~alem, Oregon 9734)1 <br /> Ph: 5S8-5147 <br /> <br /> By: <br /> <br />Electrical Sue,, I I <br />I uce~. No. , .... <br /> <br />No. <br /> <br />Directions to job: <br /> <br /> RESIDENTIAL I <br /> Resider~ce wiring less th <br /> Residence wiring less th <br /> Residence wiring over :3 <br /> Electric heat installatioi <br /> <br />Temporary Construcfio~ <br />Serwce change only In a <br />Commermal or I nduStr~ <br />Service no1; over 100 <br />Service over 100 amperI <br />Service over 200 amper~ <br />Service over 400 ampere <br />Service over 600 ampere <br />Service over 600 volts .~ <br /> COMMERCIAL ~ <br />Installation of Alteratiol <br />Not more than 100 am~ <br />Over 100 amperes but n <br />Over 200 amperes but nl <br />Over 400 amperes ........ I <br />Feeder over 600 volts <br /> MiSCELLANEOU <br />A $10.00 Label shall apl <br />A. Each trailer or mo~ <br />B. Each supply for mc <br />C. Each farm building <br />D. Each irrigation pun <br />E. Each electric sign o <br />F. Each residential sw <br /> BRANCH ClRCU <br />One new circuit; altarati <br />Two or more new c rcu 1 <br /> <br />Will c~ll for insl3ection ...... ? <br /> <br /> Bidg- Permit if <br /> <br /> E,., <br /> <br />Home Builders <:f:~/~,_ ,~,,_~ J <br />Reg ~ra~ On ao~ [ <br /> <br />Phone:__ AddreSs: <br /> <br />Amount Received <br /> <br />ADD STATUTORY~UR~HARGE: 4% of Subtotal $ /, ~O <br />TOTAL * '~,~,' $~ <br /> <br /> I agree to make the electrical installation according to the submitted plans and specifications, the laws of the State of Oregon and the <br /> Ordinances of Marion County, Permit expires if work not commenced within 180 days, <br /> <br />,S GNATURE OF APPLICANT: <br /> <br /> [] HOMEOWNERS - I hereby certify that I am the owner of the property described above, at which location I propose to make <br /> an electrical installation for my own use and this property is not being COnStructed for sale, lease or rent, <br /> <br />SIGNATURE OF APPLICANT: <br /> (Owner doing ht~ own world) <br /> <br /> <br />