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FOR OFF-ICE USE ONLY I <br />Received by: <br />Date: <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all Secti~ <br /> APPM A11C)N <br /> <br /> TEMPORARY- 11/3/93 11/9/93 <br />MARION COUNTY BUILDING INSPEC..TIQ~ . <br /> <br /> Salem, Oregon ~7301 <br /> <br /> ~¢-A-l~onc: 588,7~4 Permit No. <br /> FAX: 588-7948 SITE ~: <br /> MARION COUNTY <br /> Date: ~ <br /> <br /> Issued by: <br /> <br />Joi,^aa~, 14452 ARNDT ROAD <br />city AURORA Icro's'- AIRPORT ROAD <br />Dircctice a COLUMBIA HELICOPTER <br /> <br /> 75 HP AIR COMP FEEDER <br /> <br />p b_'R M I 'I'S ARE NON-IRANSFERABLE AND NON-REI,~NDABLE AND <br />EXPIRE Il: WORK IS NOT STARTED WITt nN 180 DAYS OF ISSUAJqCE <br />OR IF WORK IS SUSPI~qDED FOR ] 80 DAYS, <br /> <br />2A. CONTRACTOR IN~qfALLATION ONLY <br />ul~,,i~tce.,,~c~o~ FRAHLER ELEC. ]"Ph°"~639-4627 <br />~nln~Ad~':"l1860 SW GREENBURG ROAD, TIGARI <br />P~om"y 0~,~¢~ C 0 L U M B I A H E L I C. <br /> <br />2B, FOR OWNER iNS-rAt.! ATIONS <br /> RI:iIORN ORK;ilNAL <br />Mailing Addce~ ....... ~Ph~os~''~'~'~ <br /> ! <br /> <br />City/State/Zip <br /> <br />3. PLAN REVIEW SE(TrION <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 pmgrmn does nol suspend the <br />reqaired subatission of lighting power calculations, plans, <br />and specifications when required by die Oregon Structural <br />Specialty Code, Chapter 53. <br /> <br />MC 15-34 11/91 <br /> <br />4. IeEE SCHEDULE (Complete mid riser total in Al below) <br /> <br />A, Re~ldenaal Per Unit ' <br /> Service Included: Items U. ost (each) Sum <br /> / <br /> <br />l~ sq, ~ ~ tess $85.00 4 <br />E<h ad~Qonal 5~ $q, fi, <br /> or ~lhemof <br />L~nc~y $15.00 ...... <br /> $20.00 <br />Each Manutd 14omc or <br /> Dwc~ng $e~ ~ Fee~¢r $40.00 <br /> <br /> Ins~llatlon, AIt~allo~ ~ Rd~aaon ~ $ 5 0 . <br /> ~l am~ 1o 4~ ~pa $60,00 <br /> <br /> Rg~nncct ~ly $40,00 __ <br /> <br /> 201 ~p~ IO ~ amps $40 CO _ <br /> 401 ~p~ to ~ amps $80.00 <br /> ~er ~ amps or 1~ volts <br /> <br />D, Branch Clrcal~ <br /> <br /> a) 'l~e f~ for branch ~rcffils ~ <br /> p~reh~ ~f so~ or fe~er <br /> Each brach circuit 2 $2~ 4 . 0 0 <br /> b) ~e f~ for branch ~rcuts ~ <br /> <br />I4. R RN <br /> <br />5, FEES <br />Al. Enter totalof fees from Sec. ~4 $ 5 4 · 0 0 <br />A2, Add 5% surcharge (,O5 x Al) $ 2 . 7 0 <br /> <br /> Stlblotal <br /> <br /> B, Enter 25% of lin~ A l for PLan Review <br /> (Sec. 3), if <br /> C. Inve*tlgationF¢~ (if required) $ <br /> D. Rei~spe. ctic~ Fee ($25,00) $ ..... <br /> 'rOTALAMOUNTDUE $ 5 6. 7 0 <br /> Rec~ipl No. <br /> <br /> <br />