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"]FOR CITy VALIDATION <br /> Re¢~i'vexl by: <br /> Date: <br /> <br /> ELECTRICAL PERMIT APPLICATION <br />L..Please complete all Sections, I through <br /> t4oo%! <br /> <br />MARION COUI~Y BUILDING INSPECTION <br /> COMMUNITY DI~VELOPMENT CENTER e-a--. ~__ <br /> -E7 ~-~. ] ~-~',r/~ ~ ~ '. ~ <br /> S~em, OR 97301 I r~ ~ t ~ ~ ~ ~.~ ~ ~/ ~ ~ t ~ <br /> 0C~31 ~&95" ~ <br /> Office: 588-5147 8:~.m.-4:30p.m. ~ <br /> <br /> ~ot'cbl tON <br /> Nmnber of hlsgectlons get ~Jt allowed <br /> P~ <br /> ~nlt <br /> <br /> ~elii~ 8~ice or Feed~ ~ , $40,~ ~0 <br /> <br /> pERMITS ARE NON-TRANSFERABL~ AND F~XPIRI[ IF WORK I$ NOT <br /> STARtleD WITHIN 1 ~) DAYS OF I~SUANC~ OR IF <br /> WO~ 18 8USP~DED FOR 180 DAYS. <br /> <br />~. CO~RACTOR ~LA~ON O~Y <br /> <br />Parkin Eleclric, hie. 20250 S Mohflhl Ave, hone <br />Oregon City, OR97045 503-657-495g <br />· Ceatractors License #: 34-4C <br />Supervisor #: 1313-S <br />'Contractors Board Rcg# 351511 <br /> <br />228. FOR OWNBR INSTALLATIONS <br /> <br />Property Owner (pie.uae pi'ir'l) <br /> <br />Cil7/Statc/Zip <br /> <br />3. PLANRI~VIBW SECTION <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 />MC 1.q.34 12294 <br /> <br />~10 amps or ~ <br />201 amps to 400 amps , <br />40[ ampa to dO0 amps <br /> <br />Each sign or oullln¢ llghtillg <br /> <br /> ${0,00 __2 <br />$100.00 2 <br />$130,00 -, 2 <br />$300.00 2 <br />$4OB0 ..... 2 <br /> <br />$35,00 2 <br />$80,00 -,, :z <br /> <br />2.00 <br /> <br />$55.00 -- <br />$ 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 /> ~l. ,~. x $.t~ =,, <br /># or' Lab~h .... N(C <br /> <br />5. FEES Al. Pnt~f total offers from Sac. #4 <br /> A2. Add 5% surcharge 605 x Al) <br /> <br /> (Sec. 3), il'required <br /> <br /> D, Roimpeclion Fe~ ($25,00) <br /> <br /> TOTAL AMOUHT DUI~ <br /> <br />$ <br /> <br />$ <br /> <br />$ <br />, qg.2_o <br /> <br /> <br />