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By: ~ott~e <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br /> <br />ELEcTRiCAL <br /> <br />220 High Street NE <br />Salem, Oregon 97221 <br />Ph: SSS-S147 <br /> <br />Electrical Bus. Home Builders <br />License NO, Registration No. <br /> <br /> Will call for Inspection __ ? <br />BLDG. PERMIT fO; <br /> <br />Job Address: '~21/4-~ ~"? Road; N~ <br /> <br />Day i~LC L~ <br /> <br />Phone; ,~¢'~-V~''~'/ Address: <br /> <br />Directions to job: <br />NO. <br /> <br /> RESIDENTIAL <br />__ Residence wiring less than 1000 sq. ft ................................. @ $ 30.00 <br />__ Residence wiring less than 2000 sq. ft ...... · .......................... @ $ 50.00 <br />__ Residence wiring over 2000 sq, fi ...................................... @ $ 70,00 <br />__ Electric heat installation in existing residence . ........................ @ $ 20.00 <br /> SERVICES <br /> Temporary Construction Service ...................................... @ $ 20.00 <br /> Service change only in an existing residence ......... .. ............... @ $ 20.00 <br /> Commercial or Industrial: <br />__ Service not over 100 amperes ......................................... @ $ 30.00 <br />__ Service over 100 amperes but not more than 200 amperes .;..;;..~-.-~;;-:':'-~,~.$ 50~00 <br />__ Servic~ over 200 amperes but not more than 400 amperes .............. @ $ 70,00 <br /> 100.00 <br /> 130,00 <br /> 300.00 <br /> <br />__ Service over 400 amperes but not more than 600 amperes .............. <br />__ Service over 600 amperes ............................................ <br />__ Service over 600 volts ................................................ <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br />__ Not more than 100 amperes .......................................... <br /> Over 100 amperes but not more than 200 amperes ..................... <br /> Over 200 amperes but not more than 400 amperes ............. ........ <br /> Over 400 amperes <br /> Feeder Over 600 volts ................................................. <br /> MISCELLANEOUS <br /> A $20.00 Label shall apply for the following Installations; <br /> A. Each trailer or mobile home space ($erv~ceequiprnent) .................. <br />__ B. Each supply for mobile home (Con,action) ............................ <br /> C. Each farm building other than residence One circuit maximum, other <br /> systems use corn, rate) <br /> <br />__ D, Each irrigation pump .............................................. <br />__ E. Each electric sign or outline lighting ............................... <br />__ F. Each residential swimming pool .................................... <br /> -BRANCH CIRCUITS <br />__ One new circuit; alteration or extension ............................... <br /> <br />$ <br />$ <br />$ <br /> <br />$ 20,00 <br />$ 30.00 <br />$ 50.00 <br />$ 60.00 <br />$ 80.00 <br /> <br />20.00 <br />20.00 <br />20.00 <br />20.00 <br />20,00 <br />20;00 <br /> <br />$ 15.00 <br /> <br />Amount Received <br /> <br />50.00 <br /> <br />__ Two or more new ourouits; alterations or extensions ................... @ $ 20,00 <br /> ~=~f,~o ,~ SUBTOYAL $ ~O ,00 <br /> o 2.00 <br /> ADD STATUTORY ~.,IRCHAi~GE: 4 ~ of Subtotal $ <br /> TOTAL $ .,,~,;~ ~ O0 <br />I agree to make the electrical [n2tallation according to the 2ubmitted plans,and specifications, the law2 of the State of Oregon and <br />the Ordinances of Mario~County. Permit expires if work not commenced within 180 days. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> HOMEOWNERS - I hereby ce~ify~ f t~.~roperty described above, at which location I propose to makean <br /> eJectrical installation for my .~a~u~se~n~,,~,~?[~l"~being constructed for sale. lease or rent. <br />SIGNATURE OF APPLICANT;/ ,~_ .~"~;~"~t..._~".g-..-- ,'¢-"-'~'.--'~. ) <br /> <br /> <br />