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Date: <br /> <br />By; __ <br /> <br /> MARION COUNTY <br />DEPT, OF BUILDING INSPECTION <br /> ELECTRICAL PERMIT <br /> 220 High Strees NE <br /> Salem, Oregon 97301 <br /> Ph: 588-5147 <br /> <br />Elect rleal Bus <br />License NO. '1006 <br /> 12033 4-'~len Road, N. E. <br /> <br /> 78-517 <br /> <br />Permit# <br /> <br />Home Builders <br />Registration No. <br /> <br />Owner/BuBder BeS.azez, s s ~tches~ <br /> <br />Electrical Firm: O.K. <br /> <br />Supervising Electrician: <br /> <br />Phone: 472-5700 Address: <br /> <br />808 E. First Street <br />McN~ ~vllle, Ore <br /> <br /> No. RESIDENTIAL <br /> Residence wiring Iaaa than 1000 sq. ft ..................................................... ;@ $ 1B,00 <br /> Res dance wiring tess than 2000 sq. ft ...................................................... @'$, 25.00 <br /> Residence wiring over 2000 sq. ft ............................................................. @ $ 35-00 r <br /> Electric heat {nstallatlon M existing reaidence ........................................... ,@ $ 10.0(3, <br /> SERVICES <br />. - Temporary Conatruction Service ............................................................. @ $ 10.00 <br /> <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 amoeres but not more than 2OO amperes .......................... . @'$ 25.Q0 <br /> Service over 200 amperes but not more than 400 amperes ..................... ' ...... @ $ 35.00 .... <br />__ Service over 400 amperes but not more than 600 amperes ....... .................... @ $ <br />____ Service over 600 amperea ........................................................... . .......... @ $ '65.00 <br />Service over 600 volts .......................................................................... . @ $150.00: <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />installation of Alterations or Relocation of Dis~ibution Feeders: <br />__ Not more than 100 amperes ................................................................... @ 10,00 <br />-- Over 100 amperes but not more than 200 amperes ..................................... @ 15.00 <br />~ Over 200 amperes but not more than 400 amperes ..................................... @ ~$ 25.00 <br /> · @ $ 30.00 <br /> Over 400 amperes ............................................................................... <br /> Feeder over 600 volts ........................................................................... @ $ 40,00 <br /> MISCELLANEOUS <br /> A S10,00 Label shag apply for the following installations= <br /> 1. Mobile Home InataIlafion <br />__ a. Each Mobile Homespace in park ........................... ,' ......................... <br /> b. Each supply for Mobile Home [new or replacement) .......................... @ <br /> 2, Each farm building other than residence ............................................ @ $ 1'0.00 <br /> S, Each irrigation pump ..................................................................... @ $ 10.00 <br /> 4 Each e~ectric a[gn or outline lighting ................................................... @ $ 10.00 <br /> , 5 Each residential swimming pool ....................................................... @ $ 10.00 <br /> BRANCH Cl RCUITS <br />__ One new circuit; alteration or extension ................................................... @ $ 10.00 <br /> Two or more new circuits; alterations or extensions ................................... @ $ 15.00 <br /> <br /> ADD STATUTORY SURCHARGE: 4% of Subtotal $ <br /> TOTAL $ <br />I agree to make the etectrlcel installation according to the submitted plans and specifications, the laws <br />Ordinances of Marion County, Permi~ex~s if work not commenced within 120 days, <br /> <br /> ~upervlslng Electrician).. <br /> HOMEOWNERS -- I hereby ce~fy that I am the owner of the properW described <br /> an electrical instatlation for my own use and this property ia not being constructed for sale, lease or rent. <br /> <br />SIGNATURE OF APPLICANT: , <br /> <br /> Amount Received <br />S. <br /> <br />(Ownerdeingbis0wnw~k);,;: ::: :,:: ;: : <br /> <br /> <br />