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~ecaived Sy: -- ~, ~ ~ ~ ~ ~'~'IARION COUNTY BUILDING INSPECTION
<br /> ~ ~?~,~¢P%¢~x~)'~ ELECTRICAL PERMIT APPLICATION
<br />
<br />Owner: ~'~ ............ ;~hone: k..Address;
<br />~ Oregon Bulb Farms 678-1272 lZg37] A~n~ pa ~ ~., ~_~r~,
<br />
<br /> 20298 Hw_y,,,. 99B N.E.__._ Aurora, OR ,,,
<br />'~lemrical Firm: Phone; Address;
<br />JR Electric 981-3~13 P.0. Box 266, H~b~d, OR 970~2
<br />Supervising Electrician Phone; Address:
<br />
<br />.... Joseph V. Dryden ..... s~m]e same
<br />Electrical C0ntr~ctor!s Ne,; Home Builder's R'~gJstrarion No.:
<br />24-205C 50829
<br />Supervising ., Use of New ~.__ ' ....... Addition [] Occupancy
<br />Electrlcian'sNo.: 31385 Bgilding: ?umD service Alteraii0n[] I~el0(~ation [] Change
<br />
<br /> No. RESIDENTIAL
<br /> __ Residense wiring less than 1000 sq, ft ................................. @ $ 30.00
<br /> __ Residencewiringleasthan2000sq. fI ................................. ~_,~$ 50,00
<br /> __ Residenoewiringover2000sq, f! .................................... @$ 70,00
<br /> ~ Electric heat installation in existing residence ............. .............. (_~ $ 20.00
<br /> SERVICES
<br /> _ TemporaryConstrucflonServ~ce ................................... i, @$ 20.00
<br /> __ Service change only in an existing residence ........................... @ $ 20,00
<br /> Commercial or ladustrlalt
<br /> __ Servlcenotoverl00amperes ....................................... @$ 30.00
<br /> __ Serviceoverl00amperesPutaotmorethan200amperes ................. @$ 50,00
<br /> Service over 200 amperes but not more than 400 amperes ................. @ $ 70.00
<br /> ~ Servlcaover400amperesbutnotmorethan60gamperea ................. @$ 100,00
<br /> __ Servlceover600amperes ......................................... @ $ 130.00
<br /> __ Service over 600 volts ............................................. @ $ 300,00
<br /> COMMERCIAL AND INDUSTRIAL FEEDERS
<br /> Installation of Alterations or Relocation of Distribution Feeders:
<br /> __ Notmorethan 100amperes ........................................ ~_ $ 20.00
<br /> Over 100 amperes but not mom than 200 amperes ....................... @ $ 30,00
<br /> ____ Over 2OO amperes but not more than 4OO amperes ....................... @$ 50.00
<br /> __ Over400amperes ............................................... @ $ 60.00
<br /> __ Feederover600volts ............................................. @ $ 80,00
<br /> MISCELLANEOUS
<br /> __ A. EachtreilerormoPilehomespace(Serviceequtpment) .................. @$ 20,00
<br /> __ B, Each supply for mobile home (Connectio,) ........................... @ $ 20.00
<br /> ~ ~' C, Each irrigation pump (Affach~ mapshowi~glcc-~tlon) ............... @ $ 20.00 ,~_
<br /> D, Eaoheectrcsgneroutllaelightng ',,,:,:,:..: ............ ...... @$ 20.00
<br /> E, Each residential swimming pool .., ............................... @ $ 20.00
<br /> BRANCH CIRCUITS
<br /> __ Onenewslrcuit;alteratJonorextension ............................... @$ 15,00
<br /> __ Twoormorenewclrcuits;alterationsorextensions ....................... @$ 20.00
<br /> __ Other (as per NEC e~d Building Official) .........................................
<br /> __ On-Site Technical Review (apply directly at Madon County only) ......................
<br /> __ Industrial Plant Inspection (apply directly at Marion County only) ......................
<br /> __ Reiaspection Fee ,., .......................................................
<br />
<br /> Please return COMPLETE APPLICATION
<br /> with the indicated fee,
<br /> FLEET SURCHARGE ~'-
<br /> TOTAL _$
<br />
<br />I agma to make the ele~trioal installation according to ~ha ~ubmitled pls~ and ~peoJfloatlo,s. the law~ of the State of Oregon a,d the Ordlllatl~e~ of Marion County.
<br />
<br />~ HOMEOWNERS - I hereby cedi~ that I am the owner ~f the p~pe~ described above, at which ~ocatlon I propose to make an ele~r~eal Installation for
<br /> my own use and thls prope~ ts~being constr~ed ~,ale, ~e or rent. /
<br />
<br />MC 15-34 ~ ~/ / (O~er ~i,g bls ownwo~)
<br />Rev, 3/87
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