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R e c~,i~'e'd By <br />Date:: . *, \,p ~.-);/, i <br /> <br />MARION COUNTY BUILDING, INSPECTION <br />Senator Sldg,, No, 2~$ <br />220 High 8treat NE <br /> Salem, Oregon 97501 <br /> <br /> Phone 588-5147 <br /> <br />ADDITIONAL PERMIT FEES <br />Permit #16526 <br /> <br /> ELECTRICAL PERMIT APPLICATION <br /> <br />Owner Phone Mailing Address:: <br />Pacific Haze%nut Farms 678-2755 14673 Ottoway N.E., Aurora, OR 9700 <br /> Cross Street:: <br /> 99E <br /> <br />Job Address <br />Same <br /> <br />Electrical ~Jrm:: <br />JR Electric ........ 981-3913 <br />Supervising Electrician:: Phone <br />J~p~7~ph V. Dryden same <br /> <br />Address:: <br /> <br /> PoO. Box 266~ Hubbard, OR 9--7_0_3.2__ <br />Address <br /> <br /> Electrical Contractor~ No, <br /> <br />_~4-2~_5_6 <br />Supervising 3138S Useof <br />ElectricianB No Building <br /> <br />Home Builder's Registration No :: <br />50829 <br /> <br />Residential ~ New [] Addition [] Occupancy <br />Commercial ]~] AIteration][~ Relocation [] Change [] <br /> <br /> No RESIDENTIAL <br />......... Residence wiring tess than 1000 sq ft .... ~_~ $ 50 00 __ <br />___ Residence wiring less than 2000 sg ft ('¢; $ 75,00 <br />Residence wiring over 2000 sq ft (_q:, $ 10500 <br />__ Electric heat installation in existing residence ('e~ $ 30 00 <br /> SERVICES <br />___ TemporaryConstruction Service (4) $ 30 00 <br />__ Service change only in an existing residence 0' $ 30 00 <br />Commemiel or Industrial: <br />__ Service not over 100 amperes .... ~ $ 45 00 <br />Service over 100 amperes but not more than 200 amperes (w $ 70 00 <br />__ Serviceover200amperesbutnotmorethan400amperes ((~$ 10000 <br />..... Service over 400 amperes but not more than 600 amperes (~]?$ 15000 <br />__ Service over 600 amperes (_q~ $ 200 00 __ <br />Service over 600 volts ¢~ $ 450 00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relocation of Distribution Feeders: <br />__ Not more than 100amperes (c~ $ 2500 <br />Over 100 amperes but not more than 200 amperes (-& $ 40 00 <br />__ Over200amperesbutnotmorethen400emperes ('_4,$ 7000 <br />__ Over400amperes &$ 8500 <br />..... Feeder over 600 volts ¢4'$ t2000 <br /> MISCELLANEOUS <br />__ A Each trailer or mobile home space (Service equipment) $ 25 00 <br />__ B Each supplyfor mobilehome(connection) ........ (6~ $ 25 00 <br />.... C Each irrigation pump (Attach a mapshowinglocation) ¢' $ 30 00 <br />__ D Eachelectricsignor outlinelighting (e $ 30 00 <br />__ E Each swimming pool (bonding) (i~) $ 3000 <br /> BRANCH CIRCUITS <br />__ Onenewcircug:alterationorextension £¢~$ 20,,00 <br />] Two or more new circuits, alterations or extensions ¢' $ $000 <br />....... Other ss per NEC and Building Official) <br />__ On-Site Tschnical Review (apply directly at Marion County only) <br />___ Industrial Plant Inspection (apply directly st Marion County only) <br />__ Reinspection Fee ~j' $ 20 00 <br /> FEE <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE <br /> <br />Please return COMPLETE APPLICATION <br />with the indicated fee <br /> <br />.... 30-0~ <br /> 1.~__ <br /> <br /> INVESTIGATION FEE __ <br /> FLEET SURCHARGE ~ <br /> TOTAL $ ~C~. ] R .. <br /> <br />$'GNATOREOFAPPLICANT T~ V.~~ ~ob NC): <br />[] HOMEOWNERS - I hereby certify that I am the owner of the proper~y described above at which location I propose to make an electrical installation for <br /> my own use and h s proper y s no be ng cons ructed or sale= lease or renj~ <br /> <br /> <br />