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ELECTRICAL PERMIT APPLICATION
<br />
<br />Code-A-P'none; 588-7904
<br /> PAX: 588-7948
<br />
<br />Please complete afl Sections, 1 through 5 II
<br />
<br /> 1. LOCATION DP' IN",I'ALLATION
<br />
<br /> t,,bAddm~a 14452 ARNDT ROAD
<br /> city AURORA Icros~s*, AIRPORT ROAD
<br /> Directions CO ~.U[MB I A HELICOPTER~,,
<br />
<br />SITE #:
<br />
<br />Date:
<br />
<br />Issued by:
<br />
<br />l):~dl,,i~,, M F Z Z A N I N E L I G I.I T I N G
<br />
<br />p p;R M FI'S ARE NON.'II/ANSFERABLE AND NON-REPLINDABI F AND
<br />F~XPII.~ E Ili WORK IS NOT STARTED WFFIIIN 180 DAYS OF ISSUANCE
<br />O1¢, IF WORK IS SUSPENDED FOR I BO DAYS.
<br />
<br />2A. tXtN'rRA(TrOR INgI'AI,LATION ONLY
<br />m,~,,$:~c,.,t.~,o,ot FRAHLER ELEC. lPb°"~63'9-4627
<br />
<br />Maili,,gAddre~, 11860 SW GREENBURG~,, TIG,ARD
<br />t'.,pertyO~ner COLUMBIA HELICOPTtPF?'~
<br />
<br />Co..~,.,,'~ m,a,a aec. No. 37410 lob No. 5
<br />..... i ? ' 3304
<br />
<br />Supervi~oda iJmn$o No, 1816 $ 39 - 462
<br />
<br />2B, FOR OWNER INfI'ALI,ATIONS
<br />
<br />Mailing
<br />
<br />CityLg[atc/Zip
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<br />3. PI.AN REVIEW SECTION
<br />
<br />We will provide plan review service if you complete Section
<br />5B and sobmit two (2) sets of plans and specifications with
<br />this application.
<br />
<br />This optional plan review program does not suspend the
<br />required submission of lighting power cafculallons, plans.
<br />and spCCificafioos when required by the Oregon Structural
<br />Specialty Code, Chapter 53.
<br />
<br />MC 15-34 11/91
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<br />4. FEE SCHEDULE (Completg ~uld ¢,:lur tolal in A 1 below)
<br />
<br /> Number of Inspections per permR allowed
<br />
<br /> R~,sld~nt[~l
<br /> P~r
<br /> Unit
<br />
<br />Each aelAltional 500 aq. fL
<br />Of pOM~X thereof $15.00
<br />Limited Energy $20,00 .......
<br />Each Manu£d llom¢ or Modular
<br />
<br /> 200 amps or less
<br /> 201 am~ [o 400 amps
<br /> 401 imps to 600 amps
<br /> C.~OI amps m l~) amps
<br />
<br />b) ~11~ f~ for btaneb clrcm$ wi~om
<br /> ~wcbas~ of ae~ic~ qr feed,er
<br />
<br /> Eacb additional branch circui~
<br />
<br /> (Aa' r¢qulr*d ~y Building Offickd)
<br />
<br />section D)
<br />
<br /> ~50,0O
<br /> 60.00
<br />$100.00
<br />$1300O
<br />$300.0O
<br />$40.00
<br />
<br />$35.00 __. 2
<br />$4000 __ 2
<br />$80,00 ..... 2
<br />
<br />$200
<br />
<br />sas.oD 35.0 C
<br />$2.00 /4.0 D
<br />
<br />$4O O0 ........ 2
<br />¢8-0'0 ..........
<br />
<br />$3500
<br />
<br />$ o.do
<br />
<br />5. FEES
<br /> A 1, Enter to~al of fce~ from Sec, #4
<br /> A2, Add 5% aumh~rge (,05 x Al)
<br />
<br /> Subtotal
<br />
<br /> R, Enter 259'0 of lin~ A 1 for Plan Review
<br /> (Sec. 3), if required
<br /> C, Investigation Feer~- (if required)
<br />
<br /> TOTAL AMOUNT DUF
<br />
<br />$ 3D_. o o _
<br />$1.=~
<br />
<br />$40.95
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<br />
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