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r <br /> <br /> FOR CITY USEONLY <br /> ~ By: City: <br /> <br /> ELI[CTRICAL P~IT APPLICATION <br /> <br />C~ KEXgER ELECTRIC <br /> <br />M,~i.~ 14L0 MADISON STREET NE <br /> <br />Ci~: SALEM Sm~:: OR Zi~: 97303 <br /> <br />~ 378-0267 <br />~ 378-I861 <br />C~ 25359 <br /> <br />C~~ 24-68C <br />S.N,~ L~ 2843S <br /> <br /> 3150 Lan3150 ~r Dr. NE - Suim C <br /> S~em, O~on 97305 <br />8:00 ~ -4:30 p~'~ 24 hr. ~n L~e 3734427 F~ 588-7948 <br /> <br /> FEE; SCIIEDULE Icomplete and enter total la AI~ <br /> Number of Impections po' p~nnit allowed-- <br />A. Residential Per Tt) nih S~nice Included <br /> <br /> Cost (each) Sum <br /> <br />x $ 20.OO =$ <br />x $ 30.00 ,-$ I <br /> <br />~¢ $ 52.00 = $ 2. <br /> <br />B, ~eFylces or Feeders (Does not include branch Circuits, see Section D) <br /> Installation+ Alterattlo~ or Rdocaflon <br />2oo nam erl~ x $65.00 - <br />201 aml~to4OOan~ x $ 80.00 - $ 2 <br />401 smpsto600 amps x $130.00= $ 2 <br />601 ampslo 1000 amp~ x $170.00 -, $ 2 <br />Over 1000 amp~ o~volts x $390.00 - $ 2 <br /> <br />C. Temporar~ ~ean, k-~s/Fee ders <br />200 amps or l~ x $45.00 = $ 2 <br />201 fmpsto40Osmps × $55.00 - $ <br />401 ampsto600 amps /' x $110.00= $ 2 <br />Ov~ 600 amps ~ 1000 rolo; s~c "B" ab~vc <br /> <br /> ufS~wic~erFeed~Fee~EaBrCit x $ 3.00 = $ <br /> h) Th~ fciC- brach c~ait~ wMmm ~c <br /> <br /> Fire Branch C~mit I x S 50.00 = <br />Each Addilioml Bratc~ Circuit 'T- x $ 3,0o - <br />F~ MIseellnneoza (Service or Feeder Not Included) <br />Eachpempa~ini~ationcircic x S 55.00 = S 7. <br />Each $i$a orOutlin~L]&hting x $ 55.00 = $ 2 <br />Signal Circuil($) er It Limitsd Energy Punct, <br />AU~-~on, ac Extsmion x $55.00= $ Z <br />F. Each Additional Inspection, over the allowable <br />la any oftbe above, per Inspecann x $ 50.00 = S <br /> <br />Pack of I0 lab~ ~ $10.00 tach -- x $100.00- $ <br />(gold only to ~ Comrac~or~) <br />II. Isdmtrlul Plant x S62.50 / hr- $ <br />One~TwoFamllyll~lllnl~ Fee:$q. Feei x $ .09 =S <br /> <br />Dwelling Permit Labors (For $1u~le Family Dw~Hings Only) <br />OTllER, aa required by the Building Officinl $ -- <br /> <br />TOTAL <br /> <br />5~ FEES <br />Al. Ent~rTotal F~es ~m Section #4 <br />,~& Add State Surcharge (.0~% x A I ) <br /> <br />SUBTOTAL: <br /> <br />B. Enter30%oflineAl forPlan Review $ <br />C. Investigation Fee, ifmqu~d <br />D. Rein~ue~ion Fc~ ($$0.00) <br />E. Additional Phn Rcview [62.50/hr, <br />ffiinimttm uric-ha/f hour) $ <br />F. Im~ctinn forwhi~ no fee Js ~eci~ca]ly indicated, <br />($62.50/Iw, minimum or. hoar) <br />G. Inspeciion Out~d~ Nonnnl Business Hours, <br />$62.50/hr, minimt, m two hums) <br />H. Indus~i~ Plant ($62~0/hour) <br /> TOTAL AMOUNT DUE <br /> <br /> <br />