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~ILDIN.G INSPECTION <br /> ~,'~i,~ ]. ~ ELECTRICAL PERMIT <br />~)at~: 220 High Street NE <br /> Salem, O~egon 97301 <br /> Oottie U~RION COUNTY ~:*--*,~ <br /> <br /> Will oall for Inspection <br /> <br /> Odd <br />BLDG, PERMIT #; <br /> <br />ELEC, PERMIT #: 3338 <br /> 8/5/86 <br />DATE! <br /> <br />~ay: BUiUj!'M'mlNSPEOTION <br />EISctrica, Bus, I sSs"a'i°n N°' I <br />JOb Address: ~ ~ ~ ~ ~ :1 ~wner/Builder: ~%~_]d~ <br /> <br />Supervi.i.¢ ,les,fiesta ~- ~~ Phone; ,,Address : <br /> <br />Directions to job; <br /> <br />No, RESIDENTIAL <br />__ Residence wiring less then 1000 sq. ft ....... ,.......,., <br /> <br />__ Residence wiring less than 2000 sd. ft ................................. @ $ 50,00 <br />__ Residence wiring over 2000 sq. ft ...................................... ~ $ 70.00 <br />__ Electric heat installation in existing residence ......................... @ $ 20,00 <br /> SERVICES <br />__ Temporary Construction Service ...................................... ~ $ 20.00 <br />__ Service change only in an existing residence .......................... (~ $ 20,00 <br />Commercial or Industrial: <br />...... Service not over 100 amperes ......................................... @ $ 30.00 <br />_ Service over 100 amperes but not more than 200 amperes .............. @ $ 50.00 <br />Service over 200 amperes but not more than 400 amperes .............. @ $ 70,00 <br />__ Service over 400 amperes but not more than 600 amperes .............. @ $ 100.00 <br />___ Service over 600 amperes ............................................ ~ $ 130.00 <br />__ Service over 600 volts ................................................ ~ $ 300,00 <br />COMMERCIAL AND INDUSTRIAL FEEDERS <br />installation of Alterations or Relocation of Distribution Feederg: <br />__ Not more than 100 amperes .......................................... @ $ 20.00 <br />__ Over 100 amperes but not more than 200 smpsres ..................... @ $ 30,00 <br />_ Over 200 amperes but not more than 400 amperes ..................... ~ $ 50,00 <br /> Over 400 amperes .................................... ~ ............... @ $ 60,00 <br />__ Feeder over 600 volts ................................................. @ $ 80.00 <br /> MISCELLANEOUS <br /> ...... A, Each trailer or mobile home space (Servlseequipment) ................. [ (~ $ 20.00 <br /> _ B. EaCh supply for mobile home (Connection),,, ,, ....................... ~ $ 20,00 <br /> C, Each irrigation pump (Attach a map showing IocMio~l) ..................... ~ $ 20,00 <br />__ D, Each electrlc sign or outline lighting ............................... @ $ 20.00 <br /> _ E. Each residential swimming pOOl .................................... ~ $ 20,00 <br /> BRANCH CIRCUITS <br /> One new circuit; alteration or extension ............................... ~) $ 15.00 <br />~'~-- Two or more nsw curcuits; alterations or sxtensions ............. ~ $ 20.00 <br /> <br />Please return COMPLETE APPLICATION <br />with the indicated fee. <br /> <br /> ....... Other (as per NEC and Building Official) ........................................... <br /> <br /> __.~ /3~ PLAN REVIEW FEE <br /> INVESTIGATION FEE <br /> FLEET SURCHARGE <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 <br />the Ordinances of Marion County. ~E, JR~I~) EXPIRES IF WOR~,OT COMr~iENCED WITHIN 180 DAYS. <br />SIGNATURE OF APPLICANT: IA )f ~/~' ~¢~JY'Y") ~,,~/~)~ J,,/~ <br /> HOMEOWNERS- I hereby certify that I sm the owner of the propert~described above, at which location I propose to make an <br /> electricsl installation for my own use snd this property is not being constructed for sa[e. lease or rent. <br />SIGNATURE OF APPLICANT: <br /> <br /> <br />