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Ready for inspection <br /> <br />7 <br /> <br />jElectrical Bus I <br /> License No <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br /> ELECTRICAL PERMIT <br /> 220 High Street NE <br /> Salem, Oregon 97301 <br /> Ph: 5886147 <br /> <br />Home Builders <br /> <br /> Will call for inspection , ,, ? <br /> <br />Permit # ~ <br /> <br />Job Address: <br /> <br />Superv s ng E ecl;r c an ~T~ -1 '~ <br /> <br />Phone <br /> <br /> No, RESIDENTIAL <br />__ Residence wiring less than 1000 sq. ft. <br />__ Residence wiring less than 2000 sq. ft. <br />__ Residence wiring Over 2000 sq. ft ........ <br />__ Electric heat installation in existing residence <br /> SERVICES <br />__ Temporary Construction Service ............................. <br />__ Service change only in an existing residence <br /> Commercial or Industrial: <br />__ Service not over 100 amperes <br /> <br /> 3~ Service over 100 amperes but not more than 200 <br />__ Service over 200 amperes but not more than <br />__ Service over 400 amperes but not more than <br /> <br />Service over 600 amperes ................. <br />Service over 600 volts ............... <br /> COMMERCIAL AND INDU <br />Installation of Alterations or Reloc~ion <br />Not more than 100 amperes ................. <br />Over 100 amperes <br />Over 200 amperes but not more than <br />Over 400 amperes .......................... <br />Feeder over 600 volts <br /> MISCELLANEOUS <br />A $10,00 Label shall apply <br /> 1. Mobile Home Installation <br /> a. Each <br /> b, Each supply <br /> :~. Each farm building oth; <br /> 3, Each irrigation pump <br />4. Each electric sign or <br /> 5. Each residential <br /> BRANCH ClRCl <br /> <br />15.00 <br />2S.BB <br />35.00 <br />lo,oo <br /> <br /> ............. ;..,, @ ,$, 10,00 <br />.............................. @ $ io,0o <br /> <br />................................... @ $ 15.00 <br /> ........................... @ $ 25.00 <br /> ........................... @ $ 35,00 <br /> ........................... @ $ 50.00 <br /> @ $ 65.00 <br /> @ $ lB0.00 <br /> <br /> @ $ 10.00 <br /> @ $ 15.00 <br />..................................... @ $ 25.00 <br /> @ $ 30.00 <br /> @ $ 40.00 <br /> <br /> dlowing installations: <br /> <br /> ..................................................... @ $ 20.00 <br /> @ $ 10.00 <br /> replacement) .......................... @ $ 10.00 <br />dance ......... ~ .......... ."~....~...~:.....: ..... '@ $ 10.00 <br /> @ $ 10,00 <br />lighting ................................................... @ $ 10.00 <br />pool ....................................................... @ $ 10.00 <br /> <br />................................................... @ $ 10.00 <br /> <br /> -- Twoor more new c~rcuits; alterations or extensions ................................... @ $ 15,00 <br /> SUBTOTAL <br /> ADD STATUTORY SURCHARGE: 4% of Subtotal <br /> TOTAL <br /> I agree to make the electrical installation according to the submitted plans and specifications, the <br /> Ordinances of Marion County. Permit expires if work not commenced within 120 days,, <br /> <br />[] (Supervising Electrician) <br /> <br />Amount Received <br /> <br />$ <br />$ <br /> <br />laws of the State of Oregon and the <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 {nstallatlon for my own use and this property is not be{rig constructed for sale, lease or rent. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> <br />