Laserfiche WebLink
Ready for inspeotiorl ~ ? <br /> <br /> ~_, Ocb o ~ 78 <br />Date:: <br /> <br />By- l~a <br /> <br />l I ' <br />Electrical Bus <br /> License NO, ,,, <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br /> ELECTRICAL PERMIT <br /> 220 High Street NE <br /> Sa[em, Oregon g7S01 <br /> <br />' I Home Builders ' <br /> I <br /> LReg stration NO <br /> <br />Will call for ir~seection__ ? <br /> <br />Job Address; ,D*~,,,,i_ .1 0~,/'1"? J;)~ atzror~ Owner/Builder <br /> <br />EfectH~l Firm:: Phone: ~7~ ~0~ Address: <br /> <br />Supervising Electrician: __ Phone: Address: <br /> <br /> No,, RESIDENTIAL <br />__ Residence wiring less than 1000 sq. ft ....................................................... @ $ 15.00 <br />~ Residence w~ring ~ess than ~-000 sq,, ft ....................................................... @ $ 25,00 <br />__ Residence wiring over 2000 sq. ft ............................................................. @ $ 35.00 <br />~ Electrlc heat installation in existing residence ............................................ @ $ 10.00 <br /> SERVICES <br />__ Temporary Construction Service ............................................................. @ $ 10,,00 <br />Service change only in an existing residence ............................................... @ $ 10.00 <br />Commercial or Industrial: <br />__ Service notover 100 amperee ................................................................. @ $ 15.00 <br />~ Service over 100 amperes but not more than 200 amperes ........................... @ $ 25,00 <br />Service over 200 amperes but not more than 400 amperes ........................... @ $ 35.00 <br />__ Service over 400 amperes but not more then 600 amperes ........................... @ $ $0.00 <br />__ Service over 600 amperes ....................................................................... @ $ 65.00 <br />__ Service laver 600 volts ........................................................................... @ $150.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relocation of Distribution Feeders: <br />__ Not more than 100amperes ................................................................... @ $ 10.00 <br /> .... Over 100 amperes but not more than 200 amperes ..................................... @ $ 15.00 <br />~ Over 200 amperes but not more than 400 amperes ..................................... @ $ 25.00 <br />__ Over 400 amperes ................................................................................. @ $ 30.00 <br />~ Feeder over 600 volts ..................................... ......................................@ $ 40.00 <br /> IVIISCELLANEOUS <br />A $10,00 Label shall apply for the following installations: <br />, A. Ea~h trailer or mobile home space .....................................................@ $ 10.00 <br />~ B, Each supply for mobile home ...........................................................@ $ 10.00 <br />~ C. Each farm building other than residence ............................................. @ $ 10_00 <br />D. Each irrigation pump ..................................................................... @ $ 10.00 <br />~ E. Each electric sign or outline lighting ................................................... @ $ 10.00 <br />__ F, Each residentiat swimming pool ....................................................... @ $ 10.00 <br /> RRANCN c,Rcu,TS ? <br />....... One new circuit; alteration or extension ....................... ..~;~....~...~_./., .......... @ $ 10.00 <br />~ Two or more new circuits; alterations or extensions .................... ./ .............. @ $ 15.00 <br /> <br /> Amount Received <br />$. <br /> <br />).0. O0 <br /> <br /> SUBTOTAL *Ii I ~ ~l ; ~ <br /> ADD STATUTORY SURCHARGE: 4% of Subtotal $ , ~'~ <br /> TOTAL $ ,/~'- '¢~¢/ <br />I agree to make the electrical installation according to the submitted plans and specifications, the laws of the State of Or.on and the <br />Ordinances of Marion County. Permit expires if work not commenced within 120 days. <br /> <br /> SIGNATURE OF APPLICANT: <br /> (Supervising Electrician) <br />[] HOMEOWNERS ~ I hereby certify that I am the owner of the property described above, at which location I propose to make <br /> an electrical installation for my o~wn use and this property is not being constructed for sale, lease or rent. <br /> SIGNATURE OF APPLICANT: , .4/,,.f~.,¢, . ~ ,, , <br /> <br /> <br />