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FOR CITY VALIDATION <br />RexJe~ved by: <br />Datt~: <br /> <br /> MARION COUNTY BUILDING iNSPECTIOJ~ <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete ~1 Sections, 1 through 5 4. FEE SCHemE <br /> <br />I. LOCATION OF INSTALLATION <br /> <br />PARKIN ELECTRIC., INC, <br />.20250 S MOLALLA AVENUE <br />OREGON CITY, OR 97045 <br />657-4958 <br /> <br />CONTRACTORS LICENSE # 34-4C <br />CONTRACTORS BOARD REG. if 35151 <br />SUPERVISOR # 1313-S <br /> <br />FOR OWNER INSTALLATIONS <br /> <br />Prop,try Owner <br /> <br />Mailing Address [ Phone <br /> <br />City/State/Zip <br /> <br />Owner's Signature: <br /> <br />A. Roaldontlal Poe Unit Numberofhmpections per permit allowed~ <br /> <br /> Installation, Altt~ntion or Relocation <br /> 200 amps or le~ <br /> 201 amp~ to 400 amps <br /> 401 amps to fi00 amps <br /> 601 strips to 1000 tanps <br /> <br />C. Temporary servlc~s/Fl~lors <br /> <br /> a) llle fee for branch circuits <br /> <br /> I~gt3g. Jl~e of service <br /> / <br /> <br /> MigeSanoous (Service or Feeder N,,.q Included) <br /> Each pump or irrigation circle <br /> ~ach sign or outline lighting <br /> Signal circuit(s) or a limited energy <br /> panel, alteration or extension <br />Each additional Inspmtlon <br /> Over the allowabl* ill any of thc <br /> above, per Inspection <br /> Minoe In*tnllation Labels <br /> Pack of 10 labcAs @ $5.00 each <br /> (~old o;dy lo electrical cotgrsctorO <br />Other <br /> (As required by Boildin$, oLqelaD <br />Aurora Dw~lling Electrical F¢~ <br />Dwelling Pennlt Label <br /> <br />$50.00 2 <br />$60.00 2 <br />$100.00 2 <br />$130.00 2 <br />$300.00 2 <br />$40.00 2 <br /> <br />$35.00 2 <br />$40.00 2 <br />$80.00 2 <br /> <br />$ 2.00 <br /> <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 />__.~q,//. x $.06 = __ <br /># of Lal~ls _NIC <br /> <br />5. FEI~S Al. Enler Iotal of fees from S~. #4 <br /> A2. Add 5% ~urcharge (.05 x Al) <br /> <br /> B. Enter 25% of liae A I lbr Plan Review <br /> (Sec. 3), if roquimd <br /> C. Investigation Fac (ifrequlred) <br /> D, Reimpcetion Fee ($25,00) <br /> <br /> TOTAL AMOUNT DU~ <br /> <br />3. PLAN RIiVIBW St~CTION <br /> <br />Marion County does not require a plan review. <br />We will provide plan review service if you complete <br />Section 5B and submit two (2) sets of plans and <br />specifications with this application. <br /> <br />9 <br /> <br />MC 15-34 12,~4 " <br /> <br /> <br />