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IFOR CITY VALIDATION <br /> Received by: <br /> Dat~: ....... <br /> <br />ELECTRICAL PERMIT APPLICATION <br />P/ease complete all ~ections, i through <br /> <br />P ~9.Wal'K s AP~, NON -TRAN S FERABLP, AND EXPIRE IF WORK IS NOT <br />STARTED WITHIN 180 DAYS OF ISSUANC~ OR IP <br /> WORK IS SUSPENDED FOR 1 $0 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br /> F~ARKIN I[-3,,,,I~X.]TRIC~ :[NC. <br /> ~02.50 S. MOLALLA AVE. <br /> OREGON CITY, OR 97045 <br /> 657--'4958 <br /> <br /> CONTRACTORS LICENSE ~ 34-4C <br /> CONTRACTORS BOARD E,E~. f~ 35151 <br />, up eV!SO 1313-s .......... , .............. <br /> .. I o., ....... / <br /> <br />2B. FOR:OWIX~R INSTALLATION~ <br /> <br />PIY3DCrl. y OWll~r ~Y]O#SC pr}DO <br /> <br /> 3. PLAN R~V~ SECTION <br /> <br />5?rion County does not require a plan review, <br />e will provide plan review service if you complete <br />I Section 58 and subm!t two (2) sets of plans and <br />I specifications with thts application. <br /> <br />MC 15.34 <br /> <br />4, Flail SCH]EDIJL~ (Compl~t* aaa enter total M Al below) <br /> P~ <br /> <br />10~ sq. fl, or 1¢~ $85.~ ~4 <br /> <br />Limited ~nergy $~0,~ ~ <br />~ch Manufa~m~ Home or Modular / / $40,~ ~ <br /> <br />200 amps ,~r le~ $35,00 2 <br />201 amFa to 400 amps $40,00 2 <br /> <br />Ea*h sign or outline lighting $40.00 .... <br />!;[gnal eircult(~) el' a limited <br /> <br />(A~ required by Buildil~g OIE¢i~O <br /> <br />Al. Entor total of f~gs from Sgu, ,~ <br />A2, Add 5% aurchargn 605 x A I) _ <br /> Subtotal $_~ <br /> <br />B, F~t~t25% of/MeAl fotPlan Review <br />(8~. 3), if~qul~ $.~ <br />C. Investigation Foe (iftequi~d) $,~ <br />D. Reinspe~tion F~e ($25,~) $ <br /> TOT~ ~0~ DUE $~ <br />Ro,~ipt No. ~. <br /> <br /> <br />