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220 Hieh Streel NE Bldg. Permlt# ~(~ --~'~ <br />~lem, O~ec 97301 <br />Phi ~8~147 <br /> EI~, ~rml~ a <br /> <br /> Home Bulldem <br /> I <br /> R~ ~rat on No, ~ ~ I <br /> <br /> Superv;sing Electrician: <br /> <br /> No. RESIDENTIAL <br /> . Residence wiring less than 1000 sq. f% ....................................................... @ $ 15.00 <br />'~--~ Residence wiring less than 2000 sq. f~ .......................................................@ $ 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 />__ Serv ce not over 100 amoeres ..................................................... @ $ 15.g0 <br /> <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 /> · Servlce, over 400 amperes but not more than 600 amperes ........ ; ..................@ $ 50.00 <br /> ', . S~rvi'~e ·over 600 amperes ................................................ ~..., ......... ~ ........ @ -$ 65.00 <br /> <br /> ' Service over 600 volts ........................................................................... @ $150,00 <br /> COMMERCIAL AND iNDUSTRiAL FEEDERS <br /> Installation of Alterations o~ 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 ,..,,. ...................................................................... @ S 40.00 <br /> MISCELLANEOUS <br /> A $10.00 Label shall apply for the following installations; <br />~ ~: Each trailer,, or mobile horne space. ..................................................... . ,, , , , @$ <br />Each supply for mobile home,,' .............................. :. ...... .................. @ $ <br /> C. Each farm building other than residence (One¢lrcurt maximum; other ........... @ $ <br /> D_ Each rrigation.pump ...................................................................... @ $ <br /> E. Each electric sign or outline lighting ................................................... @ S <br /> F. Each residential swimming pool ....................................................... @ $ <br /> BRANCH CIRCUITS <br /> <br />Phone: Aclclre~: <br /> <br /> Amount Received <br />$. <br /> <br />10.00 <br />lO.OO <br />10.00 <br />10.00 <br />10.00 <br />i0.00 <br /> <br /> __ One new circuit: alteration or extension:. ................ '. ................................. @ $ 10.00 -- <br /> Two or more new circuits; alterations or extensions .......... : ........................ @ $ 15.00 <br /> <br /> .. . ~UBTOTAL <br /> ADD STATUTORY SURCHARGE: ~ of Subtotal S .... <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 the <br /> Ordinances of Marion County, Permit expil'es if work not commenced within 18Odays, <br /> EOF^ OA" -':' ' " <br />· SIGNATUR PPLI T: <br /> <br />~ HOMEOWNERS,- I hereby certify thai I, am the owner of t~e property described above, at which location I propose to make <br /> ~SIGNATUREan electriCalOF Ainptallati°npLICANT:f°r/~_,~,~j,/~~my..... o.w~ use and this property is n0t~eing*constiuC~md for sale, lease or rent, <br /> <br /> <br />