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MARION COUNTY <br /> <br />Date <br /> <br />E~y <br /> <br />BUILDING iNSPECTiON <br />ELECTRICAL PERMIT <br /> <br />Job Address g6fj2L_ ~A~Q.LMQUIST RD SE AUMS~flLLF-ocmer~Suilder MILDRED JACKSON <br /> <br />,_ SA t%~,, Phone 74q.~::) ~77 Address <br /> <br />p_Q_ .3o x 1187 <br /> <br />97325 <br /> <br />Directions to job <br /> <br />NO RESIDENTIAL <br /> <br />__ Residence wiring less than 1000 sq ft ....... @ $ 30,00 <br />__ Residence wiring less than 2000 sq ft ~ $ 5000 <br />__ Residence wiring over 2000 sq ft @ $ 7000 <br />__ Electric heat installation in existing residence ............................................... @ $ 20,,00 <br /> SERVICES <br />__ Temporary Construction Service ............................................................ @ $ 2000 <br />-- Service change only in an existing residence @ $ 2000 <br />Commercial or Industrial: <br />__ Service not over 100 amperes .............................. @ $ 30.00 <br />__ Service over 100 amperes but not more than 200 amperes @ $ 5000 <br />__ Service over 200 amperes but not more than 400 amperes ........ @ $ 7000 <br />__ Service over 400 amperes but not more than 600 amperes ........ @ $ 100 00 <br />_.__ Service ever 600 amperes ..................................................... @ $ 13000 <br />......... Service over 600 volts ...................................................... @ $ 30000 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relocation of Distribution Feeders: <br />__ Not mere than 100 amperes ...................................... @ $ 2000 <br />__ Over 100 amperes but not more than 200 amperes ........... @ $ 30.00 <br />........ Over ;200 amperes but not more than 4.00 amperes .................. @ $ 5000 <br />__ Over 400 amperes .......................................................... @ $ 6000 <br />___ Feeder over 500 voits .......................................... @ $ 80.00 <br /> MISCELLANEOUS <br />__1 A Each trader or mobile home space (Serwge e~4uipmenC .......................... @ $ 2000 <br />1 13 Each supply for mobile home !Connection) ............................ @ $ 2000 <br />__ C. Each irrigation pump (Attach a map sr]owins location) ................. @ $ 20 O0 <br />........... D Each electric 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 /> <br />__ Other (as per NEC and I~udding Official) ................................................ <br /> FEE <br /> <br />Please return COMPLETE APPLICATION <br />with the indicated fee. <br /> <br /> 4% <br />PLAN REVIEW FEE <br />INVESTIGATION FEE <br />FLEETSURCHARGE <br />TOTAL <br /> <br />20~00 <br /> <br />!_6a <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 PERMIT EXPIRES IF WORK NOT COMMENCED WITHIN 180 DAYS <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> HOMEOWNERS ~ I hereby certify that I am the owner of the property descmbed above, at which location I propose to make an <br /> electrical installation for my own use an....~s pZ~o~er, ty i~ not b~g co~_ truct, ed.~for sale: lease or rent <br />SfGNATURE OF APPLICANT /-~~h~o'~ <br /> <br /> 3.8~ <br />$ 45.44 <br /> <br /> <br />