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FOP. 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 973054 398 <br /> <br /> 24 hr. lmpectiou Line $'/3.441~ <br />Offic~ Phone ~88~$1~7 8:00am - 4:30pm <br />FAX: 588-7948 <br /> <br /> JUL'2 7 1993 <br />AAAI ION COUNTY <br />PERMrti Q. IN6 INSPECTION <br /> <br />Date: <br /> <br />Issued by: <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all Sections, I through <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />IPERMITS A RE NON.TRANSFERABLE AND EXPIR~ IF WOP, K I$ NOT <br /> STARTE~ WITHIN 180 DAYS OF ISSUANC~ OR IF <br /> WOP, K IS SUSPI~IDED FOR 180 DAYS. <br /> <br /> 2A. CONTRACTOR INST3TJ-ATION ONLY <br /> <br />Parkin Electric, Inc. 20250 S Molalla Ave. <br />Oregon City, OR 97045 503-657-4958 fax: 557-1059 <br />Con,actors License #: 34-4C exp. 10-01.98 <br />Supe~sor'. 424%S exp. 10-01-98 <br />Contractors Board Reg #: 35151 exp. 10-12-98 <br />Metro # 2416 exp. 11-01-98 <br />Owner: <br /> <br /> Contractor's Board Peg No. ,,, <br /> No. <br /> <br />~ Supervksor's License No, I Phone3 <br /> <br />2B. FOR OWNER INSTALLATIONS <br />Property Owner (ple. zs~ prlat) <br /> <br />Mailing Ad&ess { Faoae <br /> <br />Owner'a Sigaat m"e: <br /> <br />:5. PLANRBVIBW SBCTION <br /> <br />Marion County does not require a plan review. <br />We will provide plan review service if you compl~e <br />Section 5B and subn~it two (2) sets of plans and <br />specifications with this application. <br /> <br />MC 15..t41/96 <br /> <br />I s o.oo b-O 2 <br />t $~0.00 ~'-2 <br /> $100.00 2 <br /> $130,00 2 <br /> S3(~3.00 . 2 <br /> $40.00 2 <br /> <br />· $35.00 2 <br />$40.00 . 2 <br />S80.00 2 <br /> <br />$ 2.00 <br /> <br />$35.00 <br />$ 2.00 <br /> <br />$40.00 2 <br />$40.00 2 <br /> <br />$35.00 -- <br /> <br />$50.00 <br /> <br /> sq. fi' x $.068 = -- <br /># df La~l~ N/C <br /> <br />FBBS <br />Al. Enter tolal of fcca from Sec. lq <br />Ax. Add 5~ ~ (,05 x Al) <br /> ~bt~at <br /> <br /> B. ~% ~At fo~Pl~ <br /> <br /> C. ~gag~ ~ (if~) <br /> <br /> ~T~ ~O~ D~ <br /> <br />s.I I0 oo <br />$ .~', 6'0 <br /> <br /> <br />