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B~.DG. PERMIT #: <br /> <br />ELEC. PERMIT #: <br /> <br />By; <br /> <br /> I <br /> License NO, ~ ~ ~ Registration No, ~ ~ <br /> <br />Please return COMPLETE APPLICATION <br />with the Indicated fee, <br /> <br /> NO, RESIDENTIAL <br /> __ Residence wiring less than 1000Sq. ff .................. ;. ............. @ $ 30.00 <br />/ Residence wiring les~than2000~g, fi:, ................................ 50,00 ,.2.~'~ <br />__ Residence wiring Dyer 2000 sq. ft ...................................... @ $ 70,00 <br />__ Electric heat installation in existing residence ......................... @ $ 20.00 <br /> SERVICES <br />__ Temporary Construction Service ...................................... @ $ 20.00 <br />-- Service change 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 not 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 not more than 600 amperes .............. @ $ 100.00 <br />__ Service over 600 amperes .................. ...... , ................... @ $ 130,00 <br />__ Service over 600 volts ................................................ @ $ 300,00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Allerationa or Relocation of Diatribution Feeders: <br />Not more than 100 amperes .......................................... @ $ 20.00 <br />Over 100 amperes but not more than 200 amperes ..................... ~ $ 30.00 <br />__ Over 200 amperes but not more than 400 amperes ..................... @ $ 50.00 <br />__ Over 400 amperes ................................... ........ ' ......... @ $ 60.00 <br />Feeder over 600 volts ................................................. @ $ 30.00 <br /> MISCELLANEOUS <br />__ A, Each trailer or mobile home space (Service equipment) .................. @ $ 20,00 <br />-- B, Each supply for mobile home (Connection) ............................ ~ $ 20,00 <br />__ C. ,Each irrigation pump (AttaC, h e m~p showing location ..................... @ :$ 20.00 <br />__ D. Each electric sign or outline lighting ............................... @ $ 20,00 <br />......... E, Each residential swimming pool .................................... @ $ 20.00 <br /> BRANCH CIRCUITS <br />__ One new circuit; alteration or extension ............................... @ $ 15.00 <br />__ Two or more new curcuits; alterations or extensions ................... @ $ 20,00 <br />__ Other (as per NEC and Building Official) ....................................... .... <br /> FEE <br /> <br /> PLAN REVIEW FEE <br /> INVESTIGATION FEE <br /> FLEET SURCHARGE .~ ",~/.~ <br /> TOTAL ~ <br />I agree to make the electrical installation according to the submitted plans and specifications, the laws of the State of Oregon and <br />the Ordinances Df Marion County. PERMIT EXPIRES iF WORK NOT COMMENCED WITHIN 180 DAYS. <br />SIGNATURE OF APPI~[CANT: <br />[] HOMEOWNERS - I hereby certify that I am the owner of the property d~scribed above, at which location I propose to make an <br />electrical installation for my own use/~nd this prop~,~ty is ~l~t b~l,~if~natructed for sale. lease Or rent. <br />SIGNATURE OF APPLICANT: /-¢~ ~ <br /> <br /> <br />