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I Fox OFnC '" JsE OrqLYI <br /> Received by: I <br /> Date: I <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> Salem, Oregon 97301 <br /> <br />Phone 588-5147 8:00 am - &SOwn <br />Code-A-Phone: 588-7904 <br /> FAX: 588-7948 <br /> <br />I ELECTRICAL PERMIT APPLICATION <br /> Please complete all Sections, 1 through 5 <br /> <br />1. LOEATION OF iNb'TALLATION <br /> <br />ZobAaamss 20727 Highway 99E <br /> <br />Dire~,~ons South of Aurora on 99E on west side <br /> <br /> of highway <br /> Description 800 amp transfer switch on existing <br /> <br />_~ervice:, refeed 200 amd service <br /> <br /> PBRM/'I~ ARE NON-TRANSfERABLE AND NON -F. EFONnD AB LE AND <br /> EXPIRE 1F WORK I$ NOT STARTED W1T~iN l S0 DAY8 OF ISSUANCE <br /> OR iF WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br />EleclricalContraetor JR Electric <br /> <br />Suporvisor's Licenle No. 3138S <br /> <br />)~hm~981-3913 <br /> <br />MaflJngAddms~ PO BOX 266, Hubbard OR 97032 <br />Propeay Owner Oregon Flowers, Inc. {r,h~n= 678-2580 <br />ContraetOF~ LicenseNo, 24-205C <br />ContractOrS Board Reg, No, 50829 { Job No. <br /> <br /> ...... Ph°ne N°'981-3913 <br /> <br />FOR OWNER INb'rALLATION$ <br /> <br />City/State/-Zip <br /> <br />The installation is Ix&IS made on property I Own which is m~ intended for ~ala, <br /> <br />Owner's Signature __ ..... <br /> <br />3. PLAN REVIEW SECTION <br /> <br /> We will provide plan review service if you complete Section <br /> 5B 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 specifications when required by the Oregon Structural <br /> <br />A. Restdenttai Per Unit <br /> Service Included: <br /> <br />1000 sq. R. or less <br />Each addilio~t ~t,X} sq. ft. <br /> or portion thereof <br />L/m/ted ~ner~y <br />E~h ManuFd Ilom~ og Modula~ <br /> Dw~lllng Su~wlce or Feea:ler <br /> <br /> $85,00 4 <br /> <br /> $15,00 ~ 1 <br />__ $20.00 <br /> <br />$40.00 2 <br /> <br /> Installation, Alterations or Relocation1 <br /> 200 amps or 1¢~ , <br /> 201 amp~ to 400 amps <br /> 40I Im/~ <br /> <br /> 201 ~p~ to 400 am~ , 'l <br /> <br />a) <br /> <br /> b) '~e fm f~ branch ~reut~ wltb~lt <br /> <br /> (As reqMred by Building OfficmO <br /> <br /> ]~o,0o 50 <br /> 60,00 <br />$100.00 .,, <br />$130,00 __ 2 <br />$300,00 2 <br />$40.00 2 <br /> <br />$40,00 <br />$80,00 <br /> <br />$2.00 <br /> <br />$$&00 -- <br />$2.00 <br /> <br />$40,00 ~2 <br />$40,00 ~2 <br /> <br />$40,00 _,, 2 <br /> <br />$35,00 <br /> <br />$50.00 <br /> <br />5. FEES <br /> <br /> A2. Add 5% surcharge (,05 x Al) <br /> <br /> (Sec. 3). if m~uired <br /> C. InvesQgation Fcc (ff required) <br /> D, ReJnspection Fee ($25.00) <br /> <br />$178.50 <br /> <br /> <br />