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dm <br /> <br />Electrical Bus, <br />L cense No <br /> <br />Job Address: <br /> <br />Electrical Firm;: <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br />ELECTRICAL PERMIT <br /> ')20 High ~reet NE <br /> Salem, Oregon 97301 <br /> Ph: 588~147 <br /> <br />for inspection ? <br /> <br />Bldg Permit# 82-183 <br />Elec Permit# 19236 <br /> <br />NO. RE$iI~ENTIAL Amount Received <br /> <br /> ? <br /> Residence wiring less than 1000 sq~ ft ....................................................... @ $ 15.00 $. <br /> Residence wiring less than 2000 sq. ft ....................................................... @ $ 25,00 <br /> Residence wiring over 2000 sq. ft ............................................................. @ $ 35.00 <br />Electric 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 not over 100 amperes ................................................................. @ $ 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 than 600 amperes ........................... @ $ 50.00 <br />Service over 600 amperes ....................................................................... @ $ 65.00 <br />Service over 600 volts ............................................. ; ............................. @ $150.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relocation of Distribution Feeders', <br />Not more than 100 amperes ................................................................... @ $ 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 /> MISCELLANEOUS <br />A $10.00 Label shall apply for the following installations: <br /> <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 residential swimming pool ....................................................... @ $ 10.00 <br /> BRANCH CIRCUITS <br />One new circuit; alteration or extension ................................................... @ $ 10.00 <br /> <br /> __ Two or more new circuits; alterations or extensions ................................... @ $ 15,00 <br /> <br /> ADD STATUTORY SURCHARGE: 4% of Subtotal $ ,/~'-{57 <br /> ._~ ~/ TOTAL $ ~,~ <br />I agree to make the electrical installation according to the submitted plans and specifications, ~he laws of the Sta~e of Oregon and ~he <br />Ord,na~ces of Marion CounW, Permit ~~ot commenced with~;~ ~ ~ <br /> SIGNATURE OF APPLICANT ~ ' ~- ~" ~ ~ <br /> <br />~ HOMEOWNERS -- I hereb that I am the owner of the property described above, at which rocation I propose to make <br /> an electrical installation for my own use and this property is not being constructed for sale, lease or rent. <br /> <br />SIGNATURE OF APPLICANT:. <br /> <br />(Ownff~ d,~lng his own work) .... <br /> <br /> <br />