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FOR CITY VALIDATION[ <br />Received by: [ <br />Date: [ <br /> <br /> MARION COUNTY <br />!BUILDING INSPECTION DIVISION <br />3150 LANCASTER DR NE - SUITE C <br />SALEM OREGON 97305-1398 <br /> <br />Please complete ail ~octlons, I through <br />t. LOCATION OF I~S"I'ALLATION <br /> <br />ELECTRICAL PERMIT APPLICATIOI~~6 ~t~O <br /> ~ABION <br /> ~UILB~NG tN~ <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />Parkin Electric, Inc, 20250 S Molalla Ave. <br />Oregon City, OR 97045 503-657-4958 fax: 557-1059 <br />Contractors License #: 34-4C exp. 10-01-97 <br />Supervisor: 4241-S exp. 10-01-98 <br />Contractors Board Reg #: 35151 exp. 10-12-98 <br />Metro # 2416 exp. 11-01-97 <br />Owner: ~ F,~X~¢~.A\ ~ <br /> <br />Properly Owr~r <br /> <br />3. PLAN R.HVIItW 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 subnlit two (2) s~ts of plans and <br />specifications with this application. <br /> <br /> Issued by: <br /> <br /> 39? <br /> i~'~ S~--H Hll(JL~ (Complete and ~ ~ ~ A I below) <br /> <br /> ~ In~: ~ Cmt (~ch) Sm <br /> I~ ~. ~ or I~ $85.~ 4 <br /> <br /> ~ ~n ~f $15.~ <br /> ~m~ ~ $20.~ 1 <br /> ~ M~f~ H~e or M~ <br /> <br /> B. ~ ~ F~s ~s ~t ~clude b~h ci~i~ see s~tion D) <br /> <br /> ~1~ $~.~ 2 <br /> ~i~ $1~ 2 <br /> <br /> ~er 1~ ~ ~ 2 <br /> R~t o~y ~.~ 2 <br /> <br /> C. T~aey <br /> iu~tlo~ ~at~, ~ ~tioa <br /> ~ ~ or ~ $35.~ 2 <br /> <br />I ~t ~ $~.~ 2 <br /> ~r ~ ~ or 1~ vol~ <br /> <br /> b) ~e f~ f~ ~ ~mui~ wi~out <br /> <br /> F~t b~*h *~t 535.~ <br /> ~ ad~ ~ch cim~t $ 2.~ <br /> ~ prop ~ ~ga~ *~le ~.~ ~ 2 <br /> Si~ c~) or a ~i~ <br /> ~1, ~t~ or ex~i~ S~.~ -- 2 <br /> F. ~ e~it~ ~ion <br /> ~r ~ all~ab~ ~ ~y of ~e <br /> ~ ~r ~n S35.~ <br /> ~. M~ In~ ~b~ <br /> <br /> H. 0~ <br /> <br /> A~m Dwe~ ~cal F~ sq. fi. x & 068 ~ ~ <br /> <br />! 5. FEES <br /> A 1. E~ter totalof f~ea from ae~. #4 <br /> A2, Add 5% suteAmarge (.05 X Al) <br /> <br />PERMIT NO: <br /> <br />Date: <br /> <br />Subtotal <br /> <br /> <br />