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Ready for {i3soectlon , ? MARION COUNTY Will c~ll for inspectiorl ? DEPT. OF BUiLDiNG INSPECTION ELECTRICAL PERMIT 2~0 High St~et N~ ~alem, Oregon 97301 Ph: ~8~147 Bldg,,Permit#~-- icense NO Registration No- · Supervisi,gEle~trlcian: ~,~ ~~ Phone:_ ~ Address~ Directions to Job:: No. RESIDENTIAL __ Residence wiring less than 1000 sq, ft ....................................................... @ $ 15.00 __ Residence wiring less than 2000 scl, ft ....................................................... @ $ 25,00 __ Residence wiring over 2000 sq. ft ............................................................. @ $ 35.00 __ Electric heat installation in existing residence ............................................ @ $ I0.00 SERVICES ........ Temporary Construction Service ............................................................. @ $ 10.00 ~ Service change only in an existing residence ............................................... @ $ 10.00 Commercial or Industrial: __ Service not over 100 amperes ................................................................. @ $ 15.00 Service over 100 amperes but not more than 200 amperes ........................... @ $ 25.00 __ Service over 200 amperes but not more than 400 amperes ........................... @ $ 35.00 __ Service over 400 amperes but not more than 600 amperes ........................... @ $ 50,00 ServiCe over 600 amperes ....................................................................... @ $ 65.00 Service over 600 volts ........................................................................... @ $150.00 COMMERCIAL AND INDUSTRIAL FEEDERS Installation of Alterations or Relocation of Distribution Feeders: __ Not more than 100 amperes ................................................................... @ $ 10.00 __ Over 100 amperes but not more than 200 amperes ..................................... @ $ 15,00 __ Over 200 amperes but not more than 400 amperes ..................................... @ $ 25.00 __ Over 400 amperes ................................................................................. @ $ 30~00 __ Feeder over 600 volts ........................................................................... @ $ 40.00 MISCELLANEOUS A $10;00 Label shall apply for the following installations: __ 1, Mobile Home installation ..................................................... @ $ 20.00 __ a. Each Mobile Homespace in park ..................................................... @ $ 10.00 b, Each supply for Mobile Home (new or replacement) .......................... @ $ 10.00 2,, Each farm building other than residence ............................................. @ $ 10,00 3. Each irrigation pump ..................................................................... @ $ 10.00 __ 4, Each electric sign or outline lighting ................................ .~ ................... @ $ 10,00 5 Each residential swimming pool ....................................................... @ $ 10.00 BRANCH CIRCUITS __ One new circuit; alteration or extension ................................................... @ $ 10.00 Amount Received $. __ Two or more new circuits; alterations or extensions ................................... @ $ 15.00 ~ ~%'~,~,~:~' SUBTOTAL $,,, ADD STATUTORY SURCHARGE: 4% of Subtotal TOTAL $ ,, C~d~-~"~ I agree to make the electrical installation according to the submitted plans and specifications, the laws of the State of Oregon and the Ordinances of Marion County. Permltexp_ir~ if work no ' ' 120days. SIGNATURE OF APP LICA~~C~'Z ~'~"'"-Z_//~ HOMEOWNERS - I hereby certify that I am the owner of the property described above, at which location I propose to make an electrical installation for my own use and this property is not being constructed for sale, lease or rent. SIGNATURE OF APPLICANT;