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MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> ELECTRICAL PERMIT <br />Date: I~ 220 High ~;t reet N E 01dg. Permit #.. <br /> Salem, Oregon 97301 <br />By: }Rl~ t~i~ ~ Ph: 68845147 Flee. Permit # <br /> <br /> .... Regiatratlon No- <br />License No, <br /> <br />5O6 <br /> <br />Dottie <br /> <br />Electrical Firm: .~.~..~i-~-EIP ~:~ ~'~-7=-- ~'~/~' ~- .... Phone: ~"! ~C.~-~ ~ Address: [~'7, ~/~O ~ ~'~. <br />Supervising ELectrician; ~~ J~ ~ J~4~;- 1)~- __ Phone; ~! Address: ' (~ / <br /> <br /> NO, RESIDENTIAL <br /> Residence wiring less than 1000 SCl. ft. <br /> Residence wiring less than 2000 sq. ft. <br /> Residence wiring over 2000 sq. ft ....................... ~ ..........;..~. <br /> Electric heat installation in existing residence __/~..,,~ <br /> SERV,CES ~_,,) ~ <br /> Temporary Construction Servic( <br /> ~ Service change only in an existing residence~ <br /> Commercial or industrial: <br /> Service not over 100 amperes $ 15,00 <br /> Service over 100 amoeres but not more than 200 amperes ........................... ~ $ 25.00 <br />__ Service over 200 amperes but not more than 400 amperes ........................... @ $ 35.00 <br />Service over 400 amperes but not more than 600 amperes ........................... @ $ 50,00 <br />Service over 600 amperes ...................................................................... @ ~; 6§,00 <br />__ Service over 600volts ........................................................................... @ $150.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relocation of Distribution Feeders: <br />._ Not more than 100amoeres ................................................................... @ $ 10.00 <br />Over 100 amperes but not more than 200 amperes ..................................... @ $ 15,00 <br />__ Over 200 amperes but not more than 400 amperes ..................................... @ $ 25.00 <br />__ Over 400 amperes ................................................................................. @ $ 30,00 <br />-- Feeder over 600 volts ........................................................................ ,.,. @ ,$ 40.00 <br /> <br /> Amount Received <br />15.00 ~. <br /> <br />.00 <br /> <br /> MISCELLANEOUS . <br />A $10,00 Label shall appl~ for the following installations: ' <br /> <br /> 1, Mobile Home Installation @ · ~n nn <br /> a, Each Mobile Homespace in park ..................................................... ~ ~ 10.00 <br />b, Each supply for Mobile Home [new or replacement) .......................... ~ $ 10.00 <br />2 Each farm building other than residence ............................................. ~ $ 10,00 <br />3, Each irrigation ~um~ ..................................................................... ~ $ 10,00 <br />4, Each elemric sign or outline lighting ................................................... ~ $ 10.00 <br />5, Each residential swimming pool ....................................................... ~ $ 10,00 <br />BRANCH ClRCUIT~ <br />One new clmuit: alteration or extension ................................................... ~ $ 10.00 <br />Two or more new circuits: eiteratlons or extensions ................................... ~ $ 15,00 <br /> SUBTOTAL <br /> ADD STATUTORY SURCHARGE: 4% of Sub~otal <br /> <br /> TO_TA L <br />I agree to make the electrical installation according to the submittec plans and specifi~-~O'Tf~, <br />Ordinances of Marion County. Permit expires if work not commenced within 120 aays. <br /> <br />SIGNATURE OF <br /> <br /> HOMEOWNERS -- I herek~y certify that I am the owner of property described above, <br /> an electrlcaI installation for my own use and this property is not being constructed for sale, tease or rent. <br /> <br />:ANT:, <br /> <br /> <br />