MARION COUNTY
<br />DEPT. OF BUILDING INSPECTION
<br />
<br />ELECTRICAL PERMIT
<br /> .220,High Strsst NE ,
<br /> Salem, O~ason 97301
<br /> Ph: 588~i147
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<br />Will cell for in=~ectlon
<br />
<br />Bldg. Permit#
<br />Elec. Permit #
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<br />'Electrical Bbs. r Home,Builders ' ....
<br />,Lce...o, I I/RGglatretiOn NO' I ~¢~
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<br /> EleCtriCal' Firm:
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<br /> Dire~ions to
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<br />No. RES
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<br /> Residence wiring less than 1000'sq. f~. ,. ............................... : ........... ... ...... @ $ 15.00
<br /> Residence wiring less than 2000 sq.'ft; ,; .................................................... @ $ 25.00
<br /> Residence wiring over 2000 sq. ft....,;.; ........ ; .......... ; ................................. @ $ 3S.O0
<br /> Electric heat installation in existing.residence .................................. · .......... @ $ 10.00
<br /> SERVICES
<br /> Tempd~ary Construction Service ............................................................ @ $ 10.00
<br /> Service change only in an existing residence ...................... ......................... @ $ 10.00
<br /> Commercial or Industrial:
<br /> ~ Service not over,l.00 amperes ....................................................... ..... @ $ 15,00
<br /> (~/J.~ Service over 100 amperes but not more than 200 amperes ........ ;.; ....... ;....~... @ $ 25.~0
<br /> Service over 200 amperes, but no~ more than 400 amperes ........................... @ $ 35,00
<br /> Service over'400'amperes but not more than 600 amperes ........................... @ $ 50.00
<br /> Service over 600 a'mper~s ....................................................................... @ '$ 6~,00
<br /> . _ Service pver 600 volts ..... ;~,?; .... · @ $150,00
<br /> :COMMERCIAL AND INDUS3;RIAL FEE~i~RS · '; ,
<br /> Installation of Alterations or Relocation of Distribution Feeders:
<br /> Not m~re,,than 100 amperes ...................... ............................................ , @ $ 10.00 .,~ .,,
<br /> .' "- Oy~r::~'O':O e~h~i~eres but not more t~an 200 amperes ...,~ ..................... '. ......
<br /> __ Over,2OO'amPares but not more than 400 ~mperes .............. ....................... ~@',$ 25 O0 __
<br /> ove ............ : .............. ::.:.....::,..;......,: .............................. ,
<br /> Feeder over 600 volts .................................................... ~... ................... @ $ ~40.00
<br /> MISCELLANEOUS
<br />' ' 'A $10,00 Label shall-~pply f~i~{he following in~t~l~iSn-~i ....................
<br /> _ A. Each trailer or mobile home space ............ ~ .......... ' ....................... '. ...... @ $ 10.00
<br /> _ _ B. Each supply for mobilehome ........................................................... @ $ 10.00
<br /> One e tau t max mum, erbar
<br /> ...... C Each, [arm buildingother than residence ~ystemsuaec,~m rate) ........... @ $ 10,00
<br /> _ D. Each irrigation pump ..................................................................... @ $ 10.oo
<br /> _ E Eacheectrcsg0'or'oUt ne ghtng _.
<br /> _. F. Each residential swimming po01 .......................................................
<br /> BRANCH CIRCUITS
<br /> -- One ~ew circuit; alteration or extension .................................................... @ $ 10.00
<br /> Two or more new circeits; a{terations or extensions ..................... ; ......... %.' @ $" 15.00
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<br /> "/" ,. --~ ADO STATUTORY SURCHARGE. 4% of Subtotal
<br /> TOTAL
<br />
<br /> Amount Received
<br />$_
<br />
<br />$ 25, o0
<br />$ · 1.00
<br />$ 26. O0
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<br /> I agree to make the electricaLinstallation .according to the.submitted plans and specifications, the.laws of the State of. Oregon and the
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<br />S, ATURE' :.
<br /> . . -,- s,...,..., . .
<br />[] HOMEOWNERS - I hereby certify that i a~n,,th~',o~vner of (he property d~scrib~d above, at which Iocetio~ I propose to make
<br /> an electrical installati ~n for my own u~e'~nd this properW is not being constructed~for sale, lease or rent,
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