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MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> ELECTRICAL PERMIT <br />Date'. /~//~ ~' c~--~ 220 High Street NE BtrJg, Permit ~t <br /> Salem, Oregon 97301 <br /> <br /> Ph: ~9~6147 83--118 <br /> Dottle <br />EleCtrical Bua. .~ ,.< Home Buildera <br /> <br />No. RESIDENTIAL <br />__ Residence wiring less than 1000 sq. ft ....................................................... @ $ 15,00 <br />~__ Residence wiring less than 2000 sq. ft ....................................................... @ $ 25.00 <br />__. Residence wiring aver 200Q sq. f~ ............................................................. @ $ 25,00 <br />Electric heat installation in existing residence ............................................ @ $ 10.00 <br /> SERVICES <br />___ Temporary Construction Service ............................................................. @ $ 10,00 <br />__ Service change only in an existing residence ............................................... @ $ 10.00 <br />Commercial or Indu~rial: <br />Service not over 100 amperes ................................................................. @ $ 15,00 <br />......... Service over 100 amperes but not more than 200 amperes ........................... @ $ 25.00 <br />Service over :~00 amperes but not more than 400 amperes ........................... ~ $ 35.00 <br />....... Service over 400 amperes but Dot more than 600 amperes ........................... @ $ 50.00 <br />__. Service over 600 amperes ....................................................................... @ -$ 65.00 <br />__. Service over 600 volts ........................................................................... @ $150.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relocation of Distribution Feeders: <br />__. Not more than 100 amperes ................................................................... @ $ 10.00 <br />...... Over 100 amperes but not more than 200 amperes ..................................... @ $ 15.00 <br />...... Over ~'00 amperes but not more than 400 amperes ..................................... L~ $ 25.00 <br />..... Over 400 amperes ................................................................................. @ $ 30,00 <br />....... Feeder over 600 volts ........................................................................... @ $ 40.00 <br /> MISCELLANEOUS <br />A $10.00 Label shag apply for the following installations; <br />__. A. Each trailer or moblle home space ..................................................... @ $ 10.00 <br />.... B. Each supply for mobile home ........................................................... @ $ 10.00 <br />C. Each farm building other than residence One circuit maximum o her @ $ 10.00 <br />D. Each irrJ[jetJon pump ..................................................................... @ $ 10,00 <br />..... E. Each electric sign or outline lighting ................................................... @ $ 10.00 <br />__. F, Each residential swimming pool ....................................................... @ $ 10.00 <br /> BRANCH Cl RCUITS ~ <br /> / . One new circuit; alteration or extension ................................................... @ $ 10.00 <br /> <br /> Amount Received <br />$__ <br /> <br /> ~/., ADD ~ATUTORY SURCHARGE: 4% of Subtotal $ <br /> TOTAL $ /~. <br /> <br /> I agree to make the electrical installation according to the submitted plans and specificatio~the laws of the State of Dragon and the <br /> Ordinances of Marion County, Permit expires if · .w°rk not commenced~~~withln 180 days [~ "-'J ~ <br />F~ HOMEOWNERS - I hereby certi~ that I am the owner of the proper*y described above, at ~ [~[i~8~ropo,e to make <br /> an electrical installation for my own use and this proper~ is not being constructed for sale, lease or rent, <br /> MARION COUNTY <br /> SIGNATURE OF APPLICANT;_ <br /> <br /> <br />