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MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br /> <br />Date:: <br />By; .~,/~ ~ <br />Electrical Bus <br />L ~ense NO. [ <br /> <br />ELECTRICAL PERMIT <br /> <br />Btdg. Permit # <br />Elec Permit# <br /> <br />Shop ~ "T- <br />OwnerorSupervisor;; ~ ~-~ <br />Elect. Contractor~ [ { <br /> <br />· J .... Phone::_ Address:;. <br /> p ho n e ~d d rase:: .~-.~...O~__~ <br /> <br />RESIDENTIAL <br /> <br /> Residencewiringlessthanl000sq,ft ....................................................... @ $ 10,,00es, <br /> Residencewiringlesethan200Osq,,ft ............................................ @ $ 1500ea <br /> Residencewiringover2000sq ft ....................................... ~ $ 20,00es, <br /> Electrtcheatlnstallattontnexistingresidence ................................................. @ $ 500ea. <br /> <br /> SERVICES <br /> <br />__ TemporaryConstruction Se~ice ...................................................... @ $ 500es <br /> , ServlcechangeonlyinanexistJngresldence ........................................... ~ $ 5.00ea. <br /> Mulflfamily With Central Service~ Commerical or Industrial;; <br />__Servicenotoverl00emperes .............................................................. @ $ 1000es <br />Serviceoverl00amperesbutnotmorethen200amperes ...................................... @ $ 15.00es, <br />__ Servtceover200emperesbutnotmorethan400amperes ......................... @ $ 25,00es. <br />Serviceover400amperesbutnotmorethen600emperes ......................................... @ $ 35,00es, <br />ServiceoverS00emperes ...................................................... @ $ 4$.00ea, <br />Se~ice over 600 volts ......................................................................... @ $100 00es <br />COMMERCIAL AND INDUSTRIAL FEEDERS <br /> <br /> Installation of Alterations or Relocation of Distribution Feeders;: <br /> Notmorethanl00ampems ................................................................ @ $ 500es <br /> Overl00amperesbutnotmorefllan200emperes .................................. . @ $ 1000es <br /> Over200amperesbutnotmo~ethan400amperes ................................... @ $ 1500es. <br /> Over400amperes @ $ 20.00ea. <br />...... Feederover600volts @ $ ~$.00ea <br /> ' MISCELLANEOUS <br /> <br /> A $5.00 Label shall apply for the following installations:: <br /> A. Eachtreilerormobiiehomespace ...................................................... @ $ 500es <br />__B, Eachsupplyformobllehome ..................................................... @ $ 5.00ea. <br /> C Eachfarmbuildingotherthanresidence ............................................... @ $ 500es <br /> D. Eachirrigationpump ...................................................... @ $ 5,00es <br />__E. EachelectricslgnorouUinelighting ............................................... @ $ 5,00es <br /> F Each msidentldswimming pool ..................................................... ~ $ 500aa <br /> BRANCH CIRCUITS <br /> <br /> &')nenewcircuit;alterattonorextenston .......................................... @ $ 5,00es,, <br />.,[/'~ Twoormorenewcin=uits;alteretionsorextenslon ..................................... @ $ 1000 <br /> <br />Amount <br />Received <br /> <br /> TOTAL $ ! ~ =~'~ O <br />GRAND TOTAL $_~.~_~ ¢.~ <br /> <br />I agree to make the electrical installation according to the submitted plans and specifications, the laws of the State of Oregon and the Oral{nantes of <br /> <br /> <br />