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~=~ ~?~p~oSo~ ,, ? MARION COUNTY <br /> · e, BUILDING INSPECTION <br /> ELECTRICAL PERMIT <br /> Date; /~.3_ ~7_B6 220 High $[¢eet NE <br /> Salem, Oregon 97301 <br /> <br />Job Addres,~: ..... 11980 F .~ r _~. O,._P.~. NE Au ror,q <br /> <br />NO, RESIDENTIAL <br /> <br />__ Residence wiring less than 1000 aq, ft ................................. @ $ 30,00 <br />__ Residence wiring less than 2000 sq, ft ................................. @ $ 50,00 <br />__ Residence wiring over 2000 sq, ft ...................................... @ $ 70.00 <br />__ Electric heat installation in existing residence ......................... @ $ 20.00 <br /> SERVICES <br />r~ Temporary Construction Service .............. ,~.eme~i,el~houe~ ..... @ $ 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 ................................................ @ $ SOO.OD <br /> COMMERCIAL AND INDUSTRIAL. FEEDERS <br />Installation of Alterations or Relocation of Distribution 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 ................................................. @ $ 80.00 <br /> MISCELLANEOUS <br />___ A. Each trailer or mobile home space ($eevice eqmpmenb .................. @ $ 20.00 <br />__ B. Each supply for mobile home (COnnection) ............................ @ $ 20.00 <br />C. Each irrigation pump (Aea¢l~ a map showing Iocatior~) ..................... @ $ 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 /> <br /> Two or more new curcuits; alterations or extensions ................... @ $ 20.00 <br />__ Other (as per NEC and Building Official) ........................................... <br /> FEE 2o.c~r) <br />  "~ 4% .~0 <br />Please return COMPLETE APPLICATION PLAN REVIEW FEE <br />wilh the indicated fee. INVESTIGATION FEE <br /> FLEET SURCHARGE 7 _~2,~ <br /> <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 of Marion County, PERMIT EXPIRES IF WORK NOT COMMENCED WITHIN 180 DAYS, <br /> <br />SIGNATURE OF APPLICANT: <br />HOMEOWNERS - J hereby ce~m the owner of the property described above, at which location I propose to make an <br />electrical installation for ~~&t~is~rop~ Js n~t~ed for sale, lease or rent. <br />SIGNATURE OF APPLICANT; ~ ~ ,, ?/ fE~ ~ <br /> <br /> <br />