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MARION COUNTY.BUlL,pING INSPECTION <br />SenatoT. l~dg. No. 225 <br />220 High Street NE <br />~alem, Oregon 97301 <br /> <br /> Phone 588-5147 <br /> Cede-A-Phone 4:¢¢0 P.M. - 8;00 A.M. <br /> <br /> ELECTRICAL PERMIT APPLICATION <br /> <br />Owner Phone:: Mailing Addraes;; <br />Pacific Hazelnut Farms 678-2755 P.O. Box 266, Aurora, OR 97002 <br />Job Address Site No:: Cross Street <br />14673 Ottaway Rd. N.E., Aurora, OR 7506 99E <br />Electrical Firm Phone Address:: <br />JR Electric 981-3913 P.O. Box 266, Hubbard, OR 97032 <br /> <br />Supervising Electrician Phone:: <br />Joseph V. ~yden same <br />Electrical Contractor's No <br />24-205C <br />-~up~g 'Ueeof [Residential U I New <br /> Oommercial ~] Alteration <br /> Electrician's NO 3138S. SuildJng <br /> <br />Home Builder's Registration No <br /> 50829 <br /> <br />Addition [0 Occupancy <br />Relocation [] Change [] <br /> <br /> No. RESIDENTIAL <br /> Residence wiring less than 1000 eq fl @ $ 50 O0 <br /> Residence widng less than 2000 sq ft (,~ $ 7500 <br />__ Residencewiringovera000sq ft (~,$ 10500 <br /> Electric heat installation Jn existing residence .... ('¢ $ 3000 <br /> SERVICES <br /> <br />__ Servicechangeonlylnanexistingreeidence O5 80,00 <br />Commercial or Industrial: <br />__ Service not over lO0 amperes ~.$ 4500 <br />Service over 100 amperes but not more than 200 amperes .... lb) $ 70 00 <br />.... Service over 200 amperes but not ~ore than 400 amperes ~$ 10000 <br />~ Service over 400 amperes but not more than 600 amperes (~.: $ 150 00 <br />_ ~ Service over 600 amperes ....... ~ $ 20000 <br />~ ServiceoverGO0votts ~)$ 45000 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relocation of Distribution Feeders: <br />~ Notmoreth~nl0Oampem~ ~$ ~500 <br /> <br /> Over400 amperes $ 8500 <br /> <br />~ B Eaohsupplyfor mobile home(Connexion) ~h $ 2500 <br />.... C Each irrigabOn pump (Attach 8 map showing Ioc~tion) ...... ~ $ 30.00 <br /> D Each electric sign or outline lighting (b $ 30 00 <br />~_ E Each swimming pool(bondi~g) lb: $ 30 00 <br /> BRANCH CIRCUITS <br /> <br />~_ Two or mere new circuits; aReratio~s or extensions fh~ $ 3000 <br />_~ O~her (as pos NEC and Building Official) <br />~ On. SiteTechnicalReview(applydirectlyatMarionCoun~only) <br />.... Industrial Plant Inspection (apply direcUy at Marion County only) <br />~ Reinspection Fee ~ $ 2000 <br /> FEE <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> iNVESTIGATION FEE <br />with the indicated fee, FLEET SURCHARGE <br /> T~AL <br /> <br />20.00 __ <br /> <br />2o.od <br /> S'7oo <br /> <br /> 7,6'8 <br />8 <br /> <br />SIGNATUREOFAPPLICANT ~'~,~,~,,,t~/,~'~,.,4..~(~._., Job No: <br /> <br /> HOMEOWNERS - I hereby certify that J am the owner of the property described above, at which location I propose to make an electrical installation for <br /> <br />81GNATURE OF APPLICANT <br /> <br />MC 15-34 tOwner do ng" S OWn w~rk: <br />Rev 12/8B <br /> <br /> <br />