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Date:: July 2,1.78 ps MARION COUNTY DEPT. OF BUILDING INSPECTION ELECTRICAL PERMIT 2~,0 High $~reet NE l~alem, Oregon 97301 Ph: 558~147 Bldg Permit#, Elec Permit# Will ca]t for inspection ? Electrical Firm;; Phone: 67~3--576,~,.,.Addre~s:.. PO .,,;¢~.6.~ ,--G[~q;D2~._~- 002 Supervising Electrician: Phone; ~_ Address: No. RESIDENTIAL / ~ / Amount ~eceived ~ Residence wiring less than 1000 sq. ~ ....................................................... ~ $ 15.00 $. ~ Residence wiring less than 2000 sq. ft ....................................................... ~ $ 25.00 ~ Residence wiring over 2000 sq. ~ ............................................................. ~ $ 35.00 ~ Electric heat installation in existing residence ............................................ ~ $ 10.00 SERVICES ~ Temporary Construction Service ............................................................. ~ $ 10.00 ~ Service change only in an existing residence ............................................... ~ $ 10.00 Com merclal or I ndu~rial: ~ Service not over 100 amperes ................................................................. ~ $ 15.00 ~ Service over 100 amperes but not more than 200 amperes ..... ~ ..................... ~ $ 25,00 ~ Service over 200 amperes but not more than 400 amperes ........................... ~ $ 35.00 ~ Service over 400 amperes but not more than 600 amperes ........................... ~ $ 50,00 ~ Service over 600 amperes ....................................................................... ~ $ 65.00 ~ Service over 600 volts ............................................. ~ ............................. ~ $150.~ COMMERCIAL AND INDUSTRIAL FEEDERS Ins~llation of Alterations or Relo~tion ~ Di~ibufion Feeders: ~ Not more than 100 amperes ................................................................... ~ $ 10.00 ~ Over 100 amperes but not more than 200 amperes ..................................... ~ $ 15.00 ~ Over 200 amperes but not more than 400 amperes ..................................... ~ $ 25.00 ~ Over 400 amperes .................................................................................. ~ $ 30.00 ~ Feeder over 600 voits ........................................................................... ~ $ 40,00 MISCELLANEOUS A $10.00 Label shall apply for the following in~llatlons: ~ A. Each trailer or mobile home space ..................................................... ~ $ 10.00 ~ B. Each supply for mobile home ........................................................... ~ $ 10~00 x C. Each farm buitdin~ other then residence ............................................. ~ $ 10.00 10,00 ~ D. Each irrigation pump ..................................................................... ~ $ 10.00 ~ E, Each electric sign or outline lighting ................................................... ~ $ 10.00 ~ F. Each residential swimming pool ....................................................... ~ $ 10.00 BRANCH CIRCUITS ~ One new clrcui~; alteration or extension ................................................... ~ $ 10.00 ~ Two ot more new c~rcui~s; alterations or extensions ................................... ~ $ 15,00 SUBTOTAL $ ADD STATUTORY SURCHARGE: 4% of Subtotai i0.40 TOTAL $ I agree to make the electrical installation according to the submitted plans and specifications, the Ordinances of Marion CounW. Permit expires if work not commenced within 120 days,, SIGNATURE OF APPLICANT: ........ [~ HOMEOWNERS - I hereby certify that I am the owner of the property described above, at which location I propose to make an electrical installation f/et-my:own use and this property is not being constructed for sale, lease or rent. SIGN AT URE OF APPLICAN T'~~~/ laws of the State of