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MARION COUNTY
<br /> DEPT. OF BUILDING INSPECTION
<br /> ELECTRICAL PERM: '
<br /> /l-y- L ? · ,T .
<br />Date: ....... , , Bldg, Permit#
<br />
<br />By; E!e~. Permit#
<br />icense,No,, ....... Rag atret on No,,
<br />
<br />Elect,, Contractor:: ~,~ ~'z:~-~-,a'..:-~ ,, P~lol~e~ Address:' , .............
<br />
<br />RESIDENTIAL -"
<br />
<br />NO,,
<br />
<br /> __ Residencewtring loss than 1000sq, ft .................. :'~./..., .................. ,..,
<br /> ._.~:._,. Rectde nc.e wiring lessthen 2000 sq, fl ........................ , ......................
<br /> Residence wiring over 2000 sq. ff ................. , ............... , .... ...............
<br /> __ Electric heat installation in existing residence ................... '.
<br />
<br /> SERVICES
<br />
<br />--, Temporary Construction Service ....................................
<br />__ ~ervice c hangs only in an existing maldenee ..... ~ ........... :, ............ ' .......
<br /> Multifamlly With Central Service, COmmerlcal'or Induatriol:
<br /> Service not over 100 amperes ............... '. ....................................
<br />__ Service over 1 O0 ampere? but not more than 200 ampem~ ..........................
<br />Service over 200 amperes but not mom then 400 amperes ............................
<br />-- Service over 400 emberes but not morethen 600 amperes ' "
<br />
<br /> COMMERCIAL AND INDUSTRIAL FEEDERE
<br />
<br /> installation of Alteretlona or Relocation of Distribution Fecdere:
<br />__ Not more than 100 amperes ......................................................
<br /> Over 100 amperes but not more than 200 amperes ...................................
<br /> Over 200 amperes but not more than 400amperes ,.. ...............................
<br />__ Over 400amperes ...............................................................
<br />
<br /> MISCELLANEOUS
<br />
<br /> A $5.00 Label shall apply for the following instelletlona:
<br />__A, Eachtrailerormobilehomespace ....... .~,,.,.~_,..r..:~ ......................... :.. @ $
<br />--a, Eechsupplyformobilehome .................................................. @ $
<br /> C, Each farm building o!her than residence ......................... .................. ' @ $
<br /> D. Eachirrlgation pump .................................. · .......... ~. .......... ::@ $
<br /> E, Eechelectricslgnoroutltnelighting ........................................... '~@ $
<br /> F,, Each residential sWimming po,:) .........................................
<br />
<br /> ERANCH ClRCUII~
<br />
<br /> One new circuit; alteration or extension .......................................... : ,,.
<br /> Two or more new circuits; alterations o~ extension ................................... ; '.
<br />
<br />Marion County, Permit expires if work not.,G,ommenc~d within
<br />
<br />., .A.UR OFAEEL,CA.T:
<br />
<br /> Amount
<br /> Received
<br />@ $ 10.00ac. $
<br />@ $ 15.0Oec,
<br />
<br />@ $ 500ee.
<br />
<br /> @ $ 5.00ee ....
<br />:'@ $ ~,ooea,: . ....
<br />
<br />@ $ lO.OOea.
<br />@ $ 15,,O0ee.
<br />@ $ 25,00es,,
<br />'@ $ 35.00ee.
<br />@ $ 45.OOea.
<br />@ $100.00 ee.
<br />
<br /> $ 5,00ea~
<br /> @ $
<br />'@ $ l~,oOea,
<br /> ' @' $ 2000es,
<br /> @ $ 25.00es,
<br />
<br />5,00~a
<br />5,00ee,
<br />5,',0Cee.
<br />5,00es ...........
<br />5,,oOee,
<br />5,,ooec
<br />
<br /> @,$ 5,00 ea
<br /> @ ,$ t0,,00
<br /> .*~ U~.~ TOTALS ~'' ~ ~o
<br /> , ..... ~ ,~
<br />: ~'~', "'~'~ GRAND TOTALS A~,, ~
<br />
<br />I agree to make the electrical Installation according to the submitted plans and specifications, the laws of the State of Oregon and the Ordinances of
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