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MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> <br /> ELECTRICAL PERMIT <br /> Date __ :!3-21,.-¢'~ .... 220 Hieh Street NE I~ldg Permit# ................ ,~C~ _(~/ -~ / ~.~.~ <br /> Salem,Oregon 97301 <br /> <br />By 0 '::q ...... Elec Permit~ <br /> <br />....... Phone <br /> <br />Addres~ _ <br /> <br /> No,, RESIDENTIAL Amount Received <br />___ Residence wiring less than lOOO sq, ft ............................................................. @ $ 1500 $ <br />__ Residence wrong less than 2000 sq ft ................................................... @ $ 25.00 <br />___ Residence wiring over 2000 sq,, ft @ $ 35,00 <br />__ Electr,c heat installation in existing residence ......................................................... @ $ 10.00 <br /> SERVICES <br />____ Femporary Construction Service ........................................................................ @ $ <br />__ Service change only in an existing residence @ $ <br />Commercial or Induetrial;: <br />__ Service not over 100 amperes .............................................................................. @ $ 1~500 <br />Service over 100 ~rnpe~es but ~ot more than 200 amperes ........................ @ $ 25.00 <br />__ Serwceover 200 amperes but not more than 400 amperes @ $ 3500 _. <br />__ Service over 400 amperes but not more than 600 amperes ................................... @ $ 5000 <br />___ Service over 600 amperes ............................................................... @ $ 6500 <br />__ Service over 600 vohs .................................................................. ~ $15000 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relocation of Distribution Feeders: <br />__ Not me,ethan 100 amperes @ $ 10,00 <br />O~er 100 amperes but not more than 200 emperes @ $ 1500 <br />___ Oval 200 amperes hut not more than 400 amperes @ $ 25,00 <br />____ O~er 400 amperes @ $ 3000 <br />____ Fcederover 600 volts CO3 $ 4000 <br /> MISCELLANEOUS <br />A $10.00 Label shall apply for the following installationS:: <br /> A Eaeh trader or mobde home space ......................................... @ $ 1000 ...... <br /> B Each supply eot mobile home @ $ 1000 <br />__ C Each farm budding other than residence @ S 1000 <br /> D Eachirngation pump ............................................................ @ $ 1000 <br />__ E Each electric sign or outline lighting @ S 1000 <br /> <br />10.00 ........................... <br />1000 <br /> <br /> F Each residential swimm,ngpool ............................................ @ $ 1000 <br /> BRANCH CIRCUITS -~ //~ -~ <br />-- · ; ~ /. ....... @ $ 1@00 <br />___ Twoor more new circuits; alterations or extensions @ $ 1500 ................. <br /> SUBTOTAL $ ...... 1..Q.._0_Q <br /> ADD STATUTORY SURCHARGE: 4% of Subtotal $ ........ .d~.. <br /> TOTAL $ ~0.40 <br />I agree to make ~he electrica~ ~nstaHatlon accordif~B to the submitted plans and specifications, the laws of the S[ate o[ Oregon and the <br />Ordinances of Marion County Permit expires if work not commenced within 120 days <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> HOMEOWNERS - I hereby certify that I am the owner of the property described above, at which location I propose to make <br /> an electrical installation for my own u~e~nd this property is not being constructed for sale, lease or rent <br /> <br /> <br />