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/ MARION COUNTY <br /> · ' ;BUILDING IN~_PECTION DIVISION <br /> oR NE- SU,TE C <br /> <br /> Re~ivezt by: II1~1 <br /> AUG - 6 <br /> <br /> MARION C0UN~ ~: <br />IELECTRICAL PERM~ <br /> Please complete ~i ~o~, 1 ~mu~h <br /> <br /> STARTED WITHIN 1~0 DAYS OF L~UANC~ O~ IP <br /> WORK 15 SUSPI~NDL~D POP, I <br /> <br />CONTRACTOR I~ST~I-I-&TION ONLY <br /> <br />Parkin Electric, inc. 20250 $ Mdaila Ave. <br />Oregon City, OR 97045 503-657-4958 fax: 557-1059 <br />Contractors Ucense#: 34-4C exp. 10~01-97 <br />Supervisor: 4241-S exp. 10-01-98 <br />Contractors Board Rag#: 35151 exp, 10-12-98 <br />Metro # 2416 exp. l 1-01-97 <br />O~mer: <br /> <br />Supcrvi~or'i Lic~'[~ NO. I ~ <br /> <br />21t. FOR OWIN']~R INSTALLATIONS <br /> <br />properly Owner (ple, s~ pdr~) <br /> <br />Mailing Addr~s [ ~ <br /> <br />City/Stat~rzip <br /> <br />Owner's Signature: <br /> <br />3, PLANRBVIIIW SECTION <br /> <br />Marion County does not require a plan review. <br />We will pwvide plan review service if you complete <br />Section 5B and subnlit two (2) sets of plans and <br />specifications with tiffs application. <br /> <br />MC 15-.t41/96 - <br /> <br />PEP, MiT NO: <br /> <br />Date: <br /> <br /> Issued by: <br /> <br />& ~ SC~ (~plcte ~d ~ ~1 ~ Al ~low) <br /> ~d~i~ <br /> <br /> 1~ ~. ~ ~ I~ $85.~ 4 <br /> <br /> or ~a ~ $15.~ <br />~i~ ~ $20.ffi 1 <br /> <br /> ~ ~iCe or ~ $~.ffi ~ 2 <br /> <br />B. ~i~ ~ ~ ~ not ~clu~ ~¢h ¢i~i~ see s¢ct~n D) <br /> <br /> Installation, Alteration or Relocation <br /> 200 ar~ ot I~ <br /> 201 an~ m400 ~mpe <br /> <br />C. Temporary Sorvlol~F~dt~m <br /> I~lhtlon, Al~ratlon. or R~oration <br /> <br /> ,401 aml~ to 600 mnp~ <br /> Over 600 amp~ or 1000 volts <br /> see "B" above <br />D. Er.nob ch'~il~ <br /> New, Alterations, ~x Eaae~ioa F~r P~ael <br /> a) The fee for brmeh ¢ireuP- wlth <br /> <br /> Each branch eh'~u~t <br /> <br /> b) Th~ fe~ f~ braheb eimula without <br /> <br /> F~t btmch ¢i~ult <br /> Each addRiol~l bm~h ~i~ult <br /> <br /> S50.00 __l <br />$60.00 2 <br />$100.00 2 <br />$130.00 2 <br />$300.OO 2 <br />$40.00 2 <br /> <br />$~5.00 2 <br />$40.00 2 <br />$80.00 2 <br /> <br />$ ZOO <br /> <br />$ 2.00 <br /> <br />FEES <br />A I. Enter total of fees fiom S~c. #4 <br />A2. Add 5% suroharge (.05 x Al) <br /> <br />Subtotal <br /> <br /> <br />