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Date:: fic, n~-_ ~3.77 <br /> By:: <br /> <br /> Electrical Bus ..... <br />· Liconee,?o,[,, <br /> <br /> Job Address: 5027 Dumore Dr. <br /> <br /> MARION COUNTY <br />, DEPT. OF BUILDING INSPECTION <br /> ELECTRICAL PERMIT <br /> 220 High Street NE <br /> Salem, Oregon 97301 <br /> Ph: 5886147 <br /> <br />Aumsvflle <br /> <br />Home Builders <br />ReA strut on No <br /> <br />Owner/Buildsr, <br /> <br />Electrical Firm: Phone~ <br /> <br /> 362-1355 <br />Supervising Eractrlclen: }[avilan~ Phone:__ <br /> <br />Directions to job;; <br /> <br />Will call for inspection ? <br /> <br />' ;Bldg Permit# <br />.,ec,.ermlt. <br /> <br />Address; <br /> <br /> 5008 Charlest. o~ Dr. <br /> <br /> RESIDENTIAL <br />No <br /> <br />__ Reeidence wiring less than 1000 ag, ft ................................................................... <br /> Residence wiring leaa then 2000 sq,, ft <br /> Reaidence wiring over 2000 sq ft <br />__ Electric heat installation in existing residence <br /> <br /> SERVICES <br /> <br /> Temporary Construction Service <br /> Service cllange only in an existing residence <br /> <br />COMMERCIAL OR INDUSTRIAL; <br /> <br />__ Service not over 100 amperes <br /> Service over 100 amperes but not more than 200amperes <br /> Service over ~00 a mperee but not more than 400 amperes <br /> <br />__ Service over 400 amperes but not more than 600 amperes <br /> Service over 600 amperes .............................................................. <br /> Service over 600 volts ........................................... <br /> <br /> MISCELLANEOUS <br /> <br /> ^ $500 Label shall apply for the following installations <br />........ A Each se~ice for mobile home ......................................................... <br />__ B Mobile home connection ............................................. <br /> C Each farm building other than residence ........................... <br />__D Each irngation p~mp <br /> E Each electric sign or outline lighting .............................................. <br />__F Each residential swimming pool ................................. <br /> <br /> BRANCH CIRCUITS <br /> <br />...... One new circuit;; aiteratlon or extension .......... <br />-- Two or more new circuits: alteratlona or extension ......... <br /> <br /> Amount <br /> Received <br /> <br />$ 1000aa $ <br />$ 15 00aa <br />$ 20 00aa <br />$ 5.00aa <br /> <br /> 5.00 <br />$ ~ 00ea <br />$ 500 ea <br /> <br />$ 10 OOea <br />$ 15 00aa <br />$ 25,00aa, <br />$ 3500 ea <br />$ 45 00aa <br />$100,,00ea, <br /> <br />5 00ea <br />5.00 ea <br />500aa <br />5 00aa <br />500Da <br />5 00 ee <br /> <br /> 5 00ea <br />10 O0 <br /> TOTAL $ 5.00 <br /> +~% .20 <br /> GRAND TOTAL $ <br /> <br />I agree to make the electrical installation eccording to the submitted plans and specifications, the lewa of the State of Oregon and the Ordinances of <br />Marion County Permit expires if work not commenced within 120 deys <br /> <br />SIGNATURE OF APPLICANT~: ~ ~ <br /> <br /> <br />