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Dottle /',r~ n ': .... <br /> <br /> 1167~ Ehlen <br />Job Address; <br /> <br />~leotrlcel Firm: 0,~e ~[ec~c <br /> ~o[[and B, F~aney <br /> <br /> MARION C~UNTY <br />DEPT. OF BuIL:DIN'~ INSPECTION <br /> <br />Bdg Permatr <br />Elec. Permit # <br /> <br />21'1'7 <br /> <br />78-517 file <br /> <br />2764 <br /> <br />z86 <br /> <br /> Be]Lozer <br /> H e h v <br />o .... <br />Phone: 656--6819 Add~ss:~' Or,eg:on Cztyt <br /> 472-5700 <br /> <br />No. RESIDENTIAL <br /> Residence wiring ess than 1000 sq. T~ ....................................................... @ $ <br /> Residence wiring less than 2000 sC ft ....................................................... @ <br /> Residence wiring over 2000 s~ ft ............................................................ @ $ 35-00 <br /> <br />__ EJectric heat installation in existing residence ........................................... @ $ 10.00 <br /> SERVICES <br /> Temporary Construction Service ................................. : ........................... @ $ 10.00 <br /> <br />__ Service change only in an existing residence ............................................... @ S 10.00 <br /> Commercial or Industrial: <br /> Service not over 100'amperes ................................................................. @ <br /> Service over 100 amperes but not more than 200 amperes ........................... @ <br /> / Service over 200 amperes but not more than 400 amperes ........................... <br />__ Service over 400 amperes but not more than 600 amperes ........................... <br /> Service over 600 amperes ....................................................................... @ <br /> Service over 600 volts ........................................................................... @ <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> installation of Alterations or Relocation of Distribution Feeders: <br /> ./'_ Not more than 100 amperes ................................................................... @ <br />__ Over 100 amperes but not more than 200 amperes ..................................... @ <br /> Over 200 amperes but not more than 400 amperes ..................................... @ <br /> Over ~,00 amperes ................................................................................ @ <br />__ Feeder over B00 volts ........................................................................... @ <br /> MISCELLANEOUS <br /> A $10,00 Label shall apply for the following installations: <br />__ 1. Mobile Home Installation <br />__ a. Each Mobile Homespace in park <br /> b. Each supply for Mobile Home (new. or replacement) .......................... '@'@ <br /> 2. Each farm building other than res dance ............................................. <br />-- 3. Each irr[gationPump .................................................................... @ $ 10.00 <br /> 4. Each electric sign or outline ghting ................................................... @ $ 10,00 <br /> 5. Each residential swimming pool ....................................................... @ $ 10.00 <br /> BRANCH CIRCUITS <br /> One new circuit: alteration or extension .................................................. @ S 10.00 <br /> <br />Received <br /> <br /> 15.00 <br />25.00 <br />~ ?~.~ ~2~, <br />50.00 <br />65.00 ......................... <br />150.00 ;~=,' i '"'. <br /> <br />15.00 <br /> <br />30,00 <br />40.00 <br /> <br /> Two or more new circuits; alterations or extensions ........................ l- ......... @ $ 15.00 <br /> [d~'~ ~( SUBTOTAL S <br /> ADIQ STA.~UTORY SURCHARGE: 4% of Subtotal <br /> <br />agree to make the electrical [nstallati~ording to the sub~,nitted plans an~ff'specifications~ t~ <br /> <br /> · <br /> ? <br /> (~ewlslna <br /> HOMEOWNERS -- I hereby certify that I am the owner of the~Sroper~y described above, at which <br /> an electrical installation for my own use and this properW is not being constructed for sate, lease or ren~. <br /> <br />SIGNATU R E OF APPLICANT; <br /> <br /> <br />