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Date; <br /> <br />MARION COUNTY <br /> <br />DEPT. OF BUILDING INSPECTION <br /> ELECTRICAL PERMIT <br /> ,~20 High Street NE <br /> S&l~tt. Oragon 97301 <br /> Ph: 588-5147 <br /> <br />BLDG. PERMIT #: <br /> <br />ELEC. PERMIT #; <br /> <br />By DATE; <br /> <br />Home Builders <br />Beg strat on No, <br /> <br />Owner/Builder: ~-"-"-/ ~/~::t --~' ,~-3~ ,~ <br /> <br /> ~10. RESIDENTIAL Amount Received <br /> __ Residence wiring less than 1000 sq. ft ................................. @ $ 30.00 $ <br /> Residence wiring less than 2000 sa, ft ................................. @ $ 50.00 <br /> Residence w~ring over 2000 sq. ft .................................... @ $ 70,00 <br /> Electric.heat installation in existing residence ....................... @ $ 20.00 <br /> .i SERVICES <br /> Temporary Construction Service .................................... @ $ 20.00 <br /> , / Service cnange 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 net more than 200 amperes .............. (~ $ 50~00 <br /> Service over 200 amperes but not more than 400 amperes .............. @, $ 70.00 <br /> Service over 400 amperes but net more than 600 amperes .............. (~ $ t00.00 <br /> Service over 600 amperes ........................................ ,.,,,. ~',$ ~130.00 <br /> Service over 600 volts ................................... : ..........., @ '$ 300~0 <br /> COMMERCIAL AND INDUSTRIAl. FEEDERS <br /> Installation of Alterations or Relocation of Dlalrlbutlon Feeders; <br /> Not more than 100 amperes .......................................... @ $ 20,00 <br /> Over 100 amperes but not more. than 200 amperes ..................... ~. $ 30.00 <br /> Over 200 amoeres but not more than 400 amperes .................... @ $ 50.00 <br /> Over 400 amperes ............................................. .... @ $ 60.00 <br /> Feeder over 600 volts ................................................. (~ $ 80,00 <br /> MISCELLANEOUS <br /> A $20,00 Label shall apply for the following Installations: <br /> A Each trailer or mobile home space ($ervl¢eequip~'en0 .................. L~ $ 20.00 <br /> B. Each supply for mobile home (Connection) ............................ ~ $ 20.00 <br /> C. Each farm building other than residence (One clr¢ult maximum, ozner . _. ~ $ 20.00 <br /> systems uae semi, rate' ' ' <br /> D Each irrigation pump .............................................. @ $ 20,00 <br /> -- E. Each electric smgn or outline lighting ............................... @ $ 20.00 <br /> F. Each residential swimming POOl .................................... @ $ 20.00 <br /> BRANCH CIRCUITS <br /> One new clrcutt: alteration or extension .............................. @ $ 15.00 <br /> ,~/ Two or more new curcuits: alterations or extensions ................... (~ $' 20.00 ~ ¢/ ~:~, <br /> SUBTOTAL $ <br /> ADD STATUTORY SURCHARGE: 4% of Subtotal $ <br /> ,/~ /~ TOTAL $ <br />I agree to make the electrical installatiCjcf'accordir~to th~'sub¢ised plans and specifications, the laws of the State of Oregon and <br />the Ordinances of Marior~,County. P~mit sxpir~,C'fL.~nced within 180 days. <br />SIGNATURE OF APPLICANT: //~/~z.¢-~/ 4/./~.~..~./~__.~ ..... <br />u HOMEOWNERS- I here~._~_. ~!tify that I am th~,own~r'Of the propei'ty described above at which ~ocat on propose to make an <br />electrical installation for my own use and this property is not being constructed for sale. lease or rent, <br />SIGNATURE OF APPLICANT: <br /> <br /> <br />