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Received By:: ~,, [I~1/ ~-,3 ~' \~ Senator Bldg. NO,, 22S <br /> <br />Date '" ~': , Se;em, O~gon97301 <br /> <br /> ~Q, ~"' ELECTRICAL PERMIT APPLICATION <br /> <br /> Building <br /> <br />No,, RESIDE~IAL <br /> <br /> Phone:: <br /> <br />' Sit(¢ NO <br /> <br />Cross Street <br /> <br /> Phone:: <br /> <br />Residential ~ New [] <br /> <br />Address [%;',0 t~O~- ~ <br /> <br />Address:: <br /> ..... %~¢~ <br /> <br />Addition [] Occupancy <br />Relocation LJ Change [] <br /> <br />___ Residence wiring less than 1000 sq ft ..... (',~) $ 5000 <br />.__ Residence wiring less than 2000 sq ft ~i.~ $ 75,00 <br />Residencewiringover2000sq fi ¢~$ 10500 <br />__ Etectricheatinstallationinexistingresidence ('6¢$ 3000 <br /> SERVICES <br /> Temporary Construction Service ~s $ 30 00 <br /> -~ Servioechangeenlyinanexistingresidence ¢b$ 3000 <br />Commemlal or Industrial: <br />___. Service netever 100amperes r4j' $ 4500 __ <br />.... Service over 100 amperes but not more than 200 amperes (~<, $ 70,00 <br />Service over 200 amperes but not mere then 4.00 amperes (~¢$ 10000 <br />__ Service over 400 amperes but not more than 600 amperes <br />__ Serv}ce over 600 amperes ~ $ 20000 <br />____ Service over 600 volts (~ $ 4~0 00 __ <br /> CODMERClA/AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relocation of Distribution Feeders~ <br />__ Net morethan 100 ampere5 ...... ¢~' $ 2500 __ <br />___. Over 100 amperes but net more than 200 amperes ~:$ 40,00 <br />____ Over 200 amperes but not rnore than 4.00 amperes ~'$ ?000 <br />Over 400 amperes (zz) $ 8500 <br />__ Feeder over 600 ve~ts (~ $ 1~0 00 <br /> MISC~;.LLANEOUS <br />A EaehtrailerormobilehomespacetServiceequipment) ~$ 2500 __ <br />__ I~. Eac~ supply Or mobile home Cennectlom ~' $ '~5 00 <br /> <br /> E Eachswimmingpool (bonding) a~ $ 30 00 <br /> Two or more new circuits atteratiens or extensions (¢~ $ 30 00 <br /> <br /> FEE <br /> STATE SURCHARGE <br /> <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> with the indicated fee.. INVESTIGATION FEE <br /> FLEET SURCHARGE __ <br /> TOTAL _~.. -- ~..';~- <br /> <br /> Job No: <br /> <br />[] HOMEOWNERS - I hereby certify tho am the owner of the property described above: at which location I propose to make an electrical installation fo~ <br /> my own tcse and t hie props tt~,js ~nl b.e..~/94/o¢~t ruct ed fo?.'~e., lease o.r. ryt ~*"/ <br />~'~s~;u4REOFAPPLIOANT ~~ ~/~-ncr Oein, h,8 own work) <br /> <br /> <br />