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FOR CITY VALIDATIO~I <br />R~coivedby: [ <br />Date: [ <br /> <br /> MARION COUNTY <br />· i BUILDING INSPECTION DIVISION <br /> 31 50 LANCASTER DR NE - SUITE C <br /> SALEM OREGON 97305-1398 <br /> <br /> 24 br. Inspection Line 37~4427 <br />Office: Phone S88~147 8:00am - 4:30pm <br />FAX: 588-7948 <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all ~ectlons, I through <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />AR.F., NOH-TRAIqSFERABLF., A.ND EX~Ill. E IF WORK. I$ HOT <br />STA.k'i:U. iJ 'Will:liN 1~0 DAYS OF ISSUANCI~ OR I~ <br /> WORK IS SUSPIE~DED FOR lS0 DAYS. <br /> <br /> 2A. CONTRACTOR I~STALLATION 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. 10-01-98 <br />Supervisor: 4241-S exp. 10-01-98 <br />Contractors Board Reg#: 35151 exp. 10-12-98 <br />MeU'o # 2416 exp 11-01-98 <br />Owner: <br /> <br />[ Supervhor'~ Licerme No. <br /> <br />2B. FOR O~ I~$TALLATION$ <br /> <br />Marion County does not require a plan review. <br />We will provide plan review service if you complete <br />Section 5B and subniit two (2) sets of piaris and <br />specifications with this application. <br /> <br />MC 15-$4 l/P6 <br /> <br />PERM~ <br /> <br /> Da,to: <br /> <br /> sued by: <br /> MARION COUm~ <br /> <br />4. FIlll 8C]:IRI'~ (compl~t~ ~d eater tolal in .a.l below) <br /> Numb~r of Ins~tlons p~ p~it attowcd -~ <br />A. <br /> Residential <br /> P~ <br /> Unit <br /> Servloe Included: Items Cost(each) Sum <br /> 10O0 sq. fL or l~s $85.00 4 <br />Each sddRiou~l .~0 sq. ft. <br /> or po~tlon ~hereof $15.00 <br />Lhn|ted Energy $20.00 1 <br />Each Manufactured H~xne or Modular <br /> <br />E. MiseeUane~os (&l'vloe or Feeder Nc~ Included) <br /> ~ach pump or iltigali011 circle $40.00 -- 2 <br /> Each sign or outUae Ughti~g , , $40.00 2 <br />Signal ch, cult(a) or a Umite~ enecg7 <br />panel, alteratlotl or excision $40.00 -- 2 <br />F. Each addltiOn~l lnspeetlon <br />Over th~ allowab[o in any of the <br />above, per Inspection $35.00 <br />O~ Min~r In~tallatlon Labels <br />Pack of 10 labola O $$,G0 each I50.00 <br />(sold oMy to <br />lt. Othe~ <br /> (As r~ired by <br /> Autx~ Dwelllng El~tfieal <br /> Dwelllng Pe. rmlt ~abd #6fLabq~. <br /> <br />]:BBS <br />Al. Eater lol:l of fees Imm Soc. 84 <br />A2. Add 5% suroha~ge (.05 x Al) <br /> <br />Subtotal <br /> <br />s <br /> <br /> <br />