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MARION COUNTY <br />DEPT. OF BUILDING,INSPECTION <br /> ELECTRICAL PERMIT <br /> '~'Y0 High ~reet,NE,. <br /> Sa[em, Oregon 97301 <br /> Ph: 588-5147 <br /> <br />Will cell for rnspe¢flon~ ?~,, <br /> <br />Bldg. Permit# ~ ~ <br />Elec, Permit'~F-- ~_~.._~'-~-' ~'.~,, ~ <br /> <br />Elect rical Bus <br /> i',. - · ' Registration No, ~ <br /> <br />Electrical Firm Phone: <br /> <br /> Np <br /> <br /> Electr~heatmstall~io0~exl~mgres~e .... ~ .......... ~,$ 500e~" ". , <br /> <br /> .SERVICES %- .'~ <br /> <br />~TemporawConstructionSerwce ,¢~,;'.%.? ~ $ 500~a <br /> <br />COMMERCIAL OR INDUSTRIAL <br /> <br /> MISCELLANEOUS; ~,- <br /> <br />$5 00 Label shah gp,p~y for the following nstallations: <br />Each service for mobile home ........................... lea <br />Mobile home connection .......................... ~ $" "5'00~a <br />Each farm building other than residence . @1~$ ' 5 00ea <br />Eachirdgatlonpumc ........... ,~, ,~ ..... ~',. 4..~@ $ 500es <br /> <br />~,,,,, , , Address; <br /> <br /> Received <br /> <br />,lO 00ea~ $~ <br /> <br />~0 00ea, <br /> <br />.... E ,-Each elebtrlb'eipd 8r b u"'t [i~, lighting <br /> <br />__, F Each residential swimming poo ~ <br /> <br /> BRANCH CIRCUITS <br /> <br /> One new Circuit, alteration or exmn$~on ... <br /> Two or more new c ~cu ts s;terationsor extensmn. <br /> <br />~-,. ..... (~ $' 5 00 ea. <br /> - . . ~, $ 5~)0ea <br /> <br />@' $ 5 O0 ea <br />@ $ 1000 <br /> <br /> GRAND TOTAL $ ~ ~J_ <br /> ~e~tate of Oregon and the Ordinances of <br /> <br /> <br />