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ne~y t=r I~e=t,o. ? MARION COUNTY wi, gall fo, in=Deotion <br /> DEP.T. OF BUILDING INSPECtiON <br /> ELECTRICAL PERMIT BLDG. PERMIT ~; 452 file <br /> <br /> 220 High Street NE ELEC. PERMIT ~: . 1671 <br /> ~lem, Oregon 97301 <br /> <br />Date: ...... <br />By: ~e <br /> <br />Supervising Electrician: Phone: Address; .... <br /> <br />Clreotion8 to Job: <br /> <br /> No. RESIDENTIAL Amount Received <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, ft ...................................... @ $ 70.00 <br />__ Electric heat installation in existing residence ......................... @ $ 20.00 <br /> SERVICES <br />Temporary Construction Serv ce ...................................... @ $ 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 />__ Service over 200 amperes but not more than 400 amperes .............. (~ $ 70,00 <br />__ SerWce over 400 amperes but not more then 600 amperes .............. @ $ 100.00 <br />__ SerWce over 600 amperes ............................................ @ $ 130.00 <br />__ Service over 600 volts ................................................ (~ $ 300.00 <br /> COMMERCIAL.AND INDUSTRIAL FEEDERS <br />installation of Alterations or Relocation of Distribution Feeders: <br />__ Not more than 100 amperes .......................................... @ $ 20.00 <br />__ Over 100 amperes but not more than 200 amperes ..................... @ $ 30.00 <br />__ Over 200 amperes but not more than 400 amperes ..................... @ $ 50.00 <br />__ Over 400 amperes .................................................... @ $ 50.00 <br />__ Feeder over 600 volts ................................................. @ $ 50,00 <br /> MISCELLANEOUS <br />A $20.00 Label shall apply for the following installations: <br />__ A, bach trailer or mobile home space (Service equipment) .................. @ $ 20.00 <br />__ B. Each supply for mobile home (Oonnectioll) ............................ ~ $ 20.00 <br />__ C. Each farm building other than residence (one circuit rn~xJrnum, omar .. @ $ 20,00 <br />__ D. Each irrigation pump .............................................. (~ $ 20,00 <br />-- E, Each electric sign or outline lighting ............................... @ $ 20,00 <br />__ F. Each residential swimming pool .................................... (~ $ 20.00 <br /> BRANCH CIRCUITS <br />__ One new circuit; alteration or extension ............................... @ $ 15.00 <br /> <br /> Two or more new curcuits; alterations or extensions ................... @ $ 20.00 <br /> ~'~/',=~/~ '% SUBTOTALS <br /> ADD STATUTORY SUI~OHARGE: 4% of Subtotal $ ,c~- 4~) ~ <br /> TOTAL $ ~, ~ D <br />I agree to make the eleotrical installation aooordl nO to the submitted plans and ~pe¢ifiCations. the laws of the State of Oregon and <br />the Ordinances of Mario:~Oounty. Per,it expires if work not commenCed within 180 day~. <br /> <br />SIGNATURE OF APPLIOANT: <br /> <br /> HOMEOWNERS - I hereby certify that I am the owner of the,~prol~erty described above, at which location I propose to make an <br /> electrical installation for my o~] use ~r~ th~ pr,0~,,ty ~q~ing constructed for sale. lease Or rent. <br />SIGNATURE OF APPLICANT; ///'~-OJL/~-3 ~ ~ ~ <br /> <br /> <br />