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FOil OFFICE USE ONLY
<br />Received I)y:
<br />Dale:
<br />
<br />ELECTRICAL PERMIT APPLICATION
<br />Please complete all Sections, 1 through 5
<br />
<br /> 1, LOCNFION OF INSTALLATION
<br />
<br /> JobA,:~,b,~,~s 11445 S.E. ARNDT ROAD
<br />city AURORA lC,o~sSt. AIRPORT ROAD
<br />I:,~:,i~a COLUMBIA HELICOPTERS
<br />
<br />MARION COUNTY BUILDING INSPECTION
<br />
<br /> 220'High Sffeet NE
<br />
<br /> Phone 588-5147 8:00 sm - 4:30pm
<br /> C~de,A-Phone: 588-7904
<br />
<br /> Date:
<br /> MARION ~OUN I~
<br />
<br />SOUTN PARKING LOT
<br />STORAGE BUILDING
<br />
<br />PERMITS ARE NON-TtLA. NSFERABL}~ AND NON-REFUNDABLEAND
<br />EXPIRI/IF WORK 1S NOT STARTED W1TIIIN 180 DAYS OF I$$UAaNCE
<br />OR iF WORK IS $USPENDI~D I':OR 180 DAYS,
<br />
<br />2A. CONTRACTOR iN::,TI'ALI.ATION ONI.Y
<br />,i~,;~,~i¢~dC~u~o~ FRAHLER ELECTRIC lPhon, 639-4627
<br />
<br />11860 S.W.GREENBURG RD...~...TIGARD, OR 97223
<br />COLUMBIA HELICOPTER IPh°n¢ 657-1111
<br />
<br />No. 3 4- 1 3 C
<br />
<br />Co,me,oe~ Eo~rd a.S, No, 3 7 4 1 0 ~,, ,",, ] ~ub No. 5 0 7 8 8
<br />
<br /> 639,4627
<br />
<br />23. FOR OWNER IN~FALLATIONS
<br />
<br />City~tate/Zip
<br />
<br />3. Iff,AN REVIEW SE(ii'ION
<br />
<br />We will provide plan review service if you complete Section
<br />53 and submit two (2) sets of plans and specifications with
<br />this application.
<br />
<br />This optional plan review program does not suspend the
<br />required submission of lighting power calculations, plans.
<br />and slx~cificafions when required by the Oregon Sl~uctural
<br />Specialty Code, Chapter 53.
<br />
<br />MC 15-34 11191
<br />
<br />4, FEE SCIIEDULE (Compl¢le md enter total hi A I below)
<br />
<br />A, Residential Per Unit
<br /> Ser-~lee Included:
<br />
<br /> Item~ Cost (each) Sum[
<br />1000 $q, fi. or less $55,00 ...... 4
<br />I~ach additional 500 sq, ft,
<br />o~' porlion ~hereof $1S.O0 .....
<br />Limited Enargy $20.00
<br />linch ManuPd Hom~ or Modular
<br />Dwelling Se~vlce m' Feeder $40,00
<br />
<br /> 50.00
<br />200 amp~ o~ less -- $ $60.00 -- 2
<br />401 amps to 600 mnps $100.00 __ 2
<br />601 amlp~l[O IIX'fi) anxps $180.00 2
<br />Over 1000 ampa or volts $300.00 --, 2
<br />E~O0nnecl ~ly $40,00 __ 2
<br />
<br />T~mpurary Servlcrd'l*eeders
<br />installation Alteration or Reloeatlun
<br />200 amps o~' less ...... $:35 O0
<br />201 amps to 400 amps $40.00
<br />401 amps lo 600 amtpaa $80.00
<br />Over 600 amps or 1000 volta
<br />ace "B" above
<br />
<br />D, BrancR Circuits
<br />
<br /> a) ]~e fcc for brunch circuits ~
<br />
<br /> b) The fee for branch clrculs .w. jlhout
<br /> F4~rchase of se~ie~ 9T [~eder fee
<br />
<br /> Each additional branch circuit $2.~
<br />
<br /> ~ch ~mp or i~ga~ e~ccle $40,00
<br /> SnO
<br /> 00
<br /> Signal cimult(a) or a Ih~t~d ~ne~y
<br />
<br />E gach addRIonal lnsp<tion
<br /> a~ve, ~r Ins~cfion
<br />
<br />H. Other
<br /> (As required by Building Offic~0
<br />
<br /> FEES
<br />A 1, Enter total of fees from Sec. g4 $ 37.0O
<br />A2. Add 5% surcharge (,05 x Al) $ --"~."85
<br /> Subtotal $
<br />
<br />B, Einar 25% of liae A 1 for Plan Review
<br />(Sec, 3). if required $
<br />C. Investigaiion Fee (if requited) $
<br />D. Reinspecticm Fee ($25.00) $
<br /> TOTAL AMOUNT DU 1.'_ $ 38.85
<br />
<br />Ree*ipt No,
<br />
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