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// <br /> Jo~ Address: <br /> <br /> MARION COUNTY <br />DEPT. OF'BUILDING INSPECTION <br /> <br /> ELECTRICAL PERMIT <br /> 220 High Street NE <br /> Salem, Oregon 97301 <br /> Ph: 588H147 <br /> <br />~tdg Permit# <br />~lec, Permit # <br /> <br />Electrical Firm: <br /> <br />Phone: Address: <br /> <br />Supervising Electri¢ion: <br /> <br /> No. RESIDENTIAL <br /> Residence wiring less than 1000 sq. ft ....................................................... @ ~ 15.00 <br /> Residence wiring less than 2000 Sq. ft ....................................................... @ $ 25.00 <br /> Residence wiring over 2000 sq, ft ............................................................. @ $ 35.00 <br /> Electric heat installation in exiating residence ............................................ @ $ 10.00 <br /> SERVICES <br /> Tamporary Construction Service ............................................................. @ $ 10,00 <br />__ Service change only in an existing residence. .............................................. @ $ 10,00 <br /> Commercial or industrial: <br /> Servica not over 100 amperes ............................................................... @ $ 15,00 <br /> Service over 100 amperes but not more than 200 amperes ........................... @ '$. 25:00 <br /> Service over 200 amperes but not more than 400 amperes ..................... ' ...... @ S 3[;,00 <br />,, Service over 400 amperes but not more than 600 amoeres ........................... @ ~ 50,00 <br /> Service over SO0 amoeres ....................................................................... @ $ 65.00 <br /> Service over 600 volts ........................................................................... @ $150,00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br />__ Not more than 100 amperes ................................................................... @ $ 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 ................................................................................ @ S 30,00 <br /> Feeder over 000 volts ......................................................................... @ $ 40.00 <br /> MISCELLANEOUS <br /> A $I0.00 Label shall apply for the following installations: <br /> 1. Mobile Home Installation ..................................................... @ $ 20,00 <br /> a. Each Mobile Homespace in park ................ ~_~.'~.(~.~....o..~.,~. .............@ $ 10.00 <br /> b. Each supply for Mobile Home Inew or replacement) ........................ @ $ 10.00 <br /> 2. Each farm building other than residence ........................................... @ ~ 10.00 <br /> 3. Each irrigation pump ..................................................................... @ S 10.00 <br /> 4. Each electric sign or outline lighting ................................................... @ $ 10.00 <br /> 5. Each residential swimming pool ....................................................... @ $ 10,00 <br /> BRANCH CIRCUITS <br /> One new circuit; alteration or extension ................................................... @ ~; 10.00 <br /> Two or more new circuits: alterations or extensions .................................. @ $ 15.00 <br /> 4~- 0~ ~ ~/ °SUBTOTAL <br /> ADD STATUTORY SURCHARGE: 4~ of Subtotal <br /> TOTAL <br />I agree to make the electrical installation according to the submitted plans and soecifications, <br />Ordinances of Marion County, Permit expires if work no[ commenced within 120 davs. <br /> <br />Amount Received <br /> <br />lO.O0 <br /> <br />10o00' <br /> .40 .... <br /> <br />SIGNATURE OF APPLICANT:.. <br /> <br /> HOMEOWNERS - I hereby certify t/lat I am the owner of the property described above, at which location <br /> an electrica( installation for my own use and this property is not being constructed for sale, lease or rent, <br /> <br />SIGNATURE OF APPLII ~--~:~-~ <br /> <br /> <br />