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BUILDING INSPECTION <br /> Senator ~lag. NO. 225 <br /> 220 High Street NE <br /> Salem, Oregon 97391 <br /> <br /> Phone 588-5147 <br />Code-A.Phone 4:30 EM, - 8:00 A,M- <br /> <br /> Owner:']','" ' ..... Pt{one: Mailing Address; <br /> 'Linda Perkins %~i~~\~ 981_9753 ................. <br /> Job Address: Site No,: Croaa Street: <br /> 20813 Filbert, Aurora, OR 97002 <br /> Electrical F~rm: Phone: Address; <br /> <br /> JR El_e.,c_.,~,~_~.c~ ........................................... 981-3913 P.O. Box 266, Hubb,ard, OR 97032 <br /> Sbp~reising Electrician,. Phone; Address: <br /> Joseph V. Dryden same ........ same <br />E~ectdaal Contractor~ Nc,: Home Muilder's Registration No,: <br />t24-205C 50829 <br />Supervising ] Useof Hobile I Residential [] I Now [] Addition [] .......... "O'~"cupanoy <br /> <br />Electdcian~No.: 3138S ] Building: home Commercial [] L Alteration [] Relocation [] Change [] <br /> <br /> NO. RESIDENTIAL <br /> ..... Residence wiring less than 1000 sci. ft ................................. @ $ 50.00 __ <br /> ___ Residence wiring less than 2000 sq. ft ................................. @ $ 75.00 <br /> ....... Residence wiring over 2000 sci. ft .................................... @ $ 105,00 <br /> ____ Electric heat installation in existing residence ........................... @ $ 30.00 <br /> SERVICES <br /> ____ Temporary Construction Service ..................................... @ $ 30.00 <br /> ........ Service change only in an ox;sting residence ........................... {A? $ 30,00 <br /> Commercial or Industrial: <br /> .... Service not over 100 amperes ....................................... ~ $ 45.00 <br /> __ Service over 100 amperes but not more than 200 amperes ................. @ $ 70.00 <br /> __._ Serviceover200ampereebutnotmorethan400amperes ................. @ $ 100,00 <br /> ......... Serviceover400amperesbut not morethae600amperee ................. @ $ 150,00 <br /> ___ Service ever 600 amperes ......................................... @ $ 200,00 <br /> Serviceover600volta ............................................. @ $ 450.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feedera: <br /> __ Not more than 100 amperes ........................................ (4~ $ 25,00 <br /> Over 100 amperes but not more than 200 amperes ....................... ® $ 40.00 <br /> __ Over2OOamperesbutnotmorethan4OOamperes ....................... @$ 70,00 <br /> Over400amperes ............................................... @ $ 85.00 <br /> ..... Feederover600volts ............................................. @ $ 120,00 <br /> MISCELLANEOUS[ <br /> A, Each trailer or mobile home space (Service equipment) .................. @ $ 25,00 ~0 <br /> ~, B. Each supply for mobile home (Connection) ........................... @ $ 2,5.00 <br /> __ C. Eachirrigationpump(Attacharnapshewinglocation) ..................... f~$ 30,00 <br /> .__ D, Each electric sign or outline lighting ................................ {'cb $ 30,00 ....................... <br /> __ E, Eachswimming pool(bondlng} ................................... @ $ 30.00 <br /> BRANCH CIRCUITS <br /> __ Onecewclrcuit;alterationorextension ............................... (b~$ 20,00 <br /> .... Two or more new cimuite; alterations or extensions ....................... @ $ 30.00 <br /> Other (es per NEC and Building Official) ......................................... <br /> __ On-Site Technical Review (apply directly at Marlon County only) ...................... <br /> ___ Indeelrial Plant Inspection (apply directly at Madon County only) ...................... <br /> ..... Reinspection Fee ................................................ ~'$ 20,00 <br /> FEE <br /> STATE SURCHARGE <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> with the indicated fee. INVESTIGATION FEE <br /> FLEET SURCHARGE <br /> TOTAL <br /> <br />[] HOMEOWNERS - I hereby certify that I am the owner of the property described above, at which Iocetloa I propose to make an electrical installation for <br /> my own use and this property is not being constructed for sale, lease or rent. <br /> <br />~IGNATURE OF APPLICANT. <br /> <br />MC 15'34 (Owner doi,g his ow, work) <br />Re~ 12/88 <br /> <br /> <br />