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ELECTRICAL PERMIT <br /> 2:~0 High Street NE <br /> Salem. Oregon 97301 <br /> Ph; 58g~147 <br /> <br />t~ldg Permit# 7~ *JT~ ~"~ <br />Elec Permit. ,//~ 7~ <br /> <br />Phone: ~--~-ZZ~-'~.__ Address;; <br /> <br />Phone;: Address: <br /> <br /> Amount Received <br />$. <br /> <br /> Job Address:: <br /> <br /> Supervising Electrician; ~,~..~ <br /> <br /> No. RESIDENTIAL <br />__ Residence wiling lesa than 1000 sq. ft ....................................................... @ $ 15.00 <br />__ Residence wiring less than :2000 sq. tt ....................................................... @ $ 95.00 <br />__ Residence wiring over 2000 sq. ft ............................................................. @ $ 35.00 <br />__ Electric heat installation in existing residence ............................................. @ $ 10.00 <br /> SERVICES <br />__ Temporary Construction Service ............................................................. @ $ 10.00 <br />__ Service change only in an existing residence ................................................ @ $ 10.00 <br /> Commercial or Industrial: <br />__ Service 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 ............................ @ $ 35.00 <br />...... Service over 400 amperes but not more than 600 amperes ........................... @ $ 50.00 <br /> Service over 600 amperes ....................................................................... @ $ 65.00 <br /> Service over (~00 v@ts ............................................................................ @ $1~0.00 <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 amp"eros 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 /> MISCELLANEOUS <br />A $10;00 Label shall apply for the following installations: <br />__ 1, Mobile Home installation ..................................................... @ $ 20,00 <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 pump ....................................................................... @ $ 10,,00 <br /> 4. Each electric sign or outline lighting ................................................... @ $ 10.00 <br /> 5, Each residential swimming pool ....................................................... @ $ 10.00 <br /> BRANCH CIRCUiTS <br /> <br />__ One new circuit; alteration or extension ................................................... @ $ 10,00 <br /> Two or more new circuits; alterations or extensions ................................... @ $ 15.00 <br /> SUBTOTAL $ <br /> ADD STATUTORY SURCHARGE: 4% of Subtotal $ <br /> TOTAL <br />I agree to make the electrical installation according to the submitted plans and specifications, the laws of the State of Oregon and the <br />Ordinances of Marion County. Permit expires if work not commenced within 120 days. <br /> <br /> HOMEOWNERS - I here that I am the owner of the property described above, at which location I propose to make <br /> an electrical installation for my own use and this property is not being constructed for sale, lease or rent. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> <br />