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FOR CITY VALIDATION[ <br />R~ived 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 />ELECTRICAL PERMIT APPLICATION <br />Please complete a/I Sections, I through <br /> <br />1. LOCATION OF INSTALLATION <br /> <br /> WOEK lS SUSPEZqDED FOR 180 DAYS· <br /> <br /> 2A. CONTRACTOR INSTALLATION ONLY <br /> <br />Parkin Electric, inc. 20250 S Mo[alia 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 />Metro# 2416 exp. 11-01-98 <br /> <br />pERMITS A RI/NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT <br /> STARTED WITHIN 180 DAYS OF ISSUANCE OR IF <br /> <br />2B. FOR O~t~qliR I~STALLATIONS <br /> <br />Properly Owner (plea~epci~) <br /> <br />Mailing Address <br /> <br />City/State/Zip <br /> <br />3. PLAN RBVI'BW SIiCTION <br /> <br />Marion County does not require a plan review. <br />We will provide plan review service if you complete <br />Section 5B and subr~'t two (2) sets of plans and <br />specifications with this application. <br /> <br />MC 15.341/96 - <br /> <br />MARION COUNTY <br /> <br />BU hII %P:ErnON <br /> <br />Issued by: <br /> <br />4. ~]~ ,~I H HI'I~ (C~mplet~ and eoIer total ~ A I ~w) N~bcr of~m <br /> <br /> Ia~aaation, Alte~atlon or Relocation <br /> 200 amps or k~ $50.00 <br /> 201 ampa to 400 amp~ $60.00 <br /> 401 amps to 600 amln $100.00 <br /> ~01 amps to 1000 amps $130.00 <br /> Over 1000 amps or 'mll~ $300.00 <br /> Reconnect only S40.00 <br /> <br />C. Temporary 8efviee~Feede~s <br />tns~.aatlon, Alteratlm~, et Rdocafion <br />200 s~ps or less $35.00 <br /> <br /> 401 amps to 600 amln $80.00 <br /> Over 600 stain or 1000 volts <br /> <br />D. Branch Cir~|ta <br /> New, Alta~ati~ns, er Extension p~ Panel <br /> s) Th~ f~ t'or b~nch ~i~ult* ~ <br /> <br /> ~ae.h branch clmuk $ 2.00 <br /> <br />b) The fe~ for Ix'anch circuit~ wltheut <br /> <br />First branCh ~imult <br />Each addMonal branch circuit <br /> <br />t/ $35.0(k~ <br /> $ 2.00 <br /> <br /> <br />