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FOR CITY VALIDATION] <br />Received by: <br />Date: <br /> <br />MARION <br /> COUNTY <br /> BUILDING <br /> INSPBCTION <br /> COMMUN~Y DEVELOPMENT CE~R <br /> 285 Chu~h St NE · R~m 132 <br /> S~em, OR 97301 <br /> Date: JA~ t <br /> <br />24 Hr Inspection Line: 588-7904 <br />Off.me: 588-5147 8:00 a.m. - 4:30 p.m. <br />FAX: 588-7948 <br /> <br />IELECTRICAL PERMIT APPLICATION [ <br /> P/ease complete ali Sections, I through 5 <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />,ob Ad = rt <br /> <br />D~ct~m <br /> <br /> PERMITS ARE NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT <br /> STARTED WITHIN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />Parkin Electric, Inc. 20250 S Molalla Ave. <br />Oregon City, OR 97045 503-657-4958 <br />Comractors License #: 34-4C <br />Supervisor #: 1315-S <br />Contractors Board Res # 35151 <br /> <br /> Supervisor's License No. Phone <br /> <br /> 2B. FOR OWNER INSTALLATIONS <br /> <br /> Property Owner (please print) <br /> Mailing Address [ Phone <br /> City/State/Zip <br /> Owner's Signature: <br /> <br />3. PLANREV/EW SECTION <br /> <br />Marion County does not require a plan review. <br />We will provide plan review service if you complete <br />Section 5B and submit two (2) sets of plans and <br />specifications with this application. <br /> <br />MC 15-34 12/94 <br /> <br />4. F~E SCHEDUL~ (Complete and enter total in A 1 below) <br /> <br /> A. Residential Per UnitNomberoflnspections per permit allowed <br /> Servie~ Included: Items Cost (each) Sum <br /> 1000 sq. ft. or less $85.00 <br /> Each additional 500 sq. ft. <br /> or portion thereof $15.00 <br /> Limited Energy $20.00 <br /> Each Manufactured Home or Modular <br /> Dwelling Service or Feeder $40.00 __ <br /> <br />B. ~'vle~s or Feeders (Does not include branch circuits, see section D) <br /> Installation, Alteration or Relocation <br /> 200 amps or less $50.00 ~ 2 <br /> 201 amps to 400 amps $60.00 ~ 2 <br /> 401 amps to riO0 amps $100.00 ~ 2 <br /> 601 amps to 1000 amps $130.00 ~ 2 <br /> Over 1000 amps or volta $300.00 -~ 2 <br /> Reconnect only $40.00 ~ 2 <br /> <br />C. Temporary &wvie~dFeedera <br />Installation, Alteration, or Relocation <br />200 amps or less $35.00 <br />201 amps to 400 amps $40.00 <br />401 amps to 600 amps $80.00 <br />Over 600 amps or 1000 volta <br />sec 'B" above <br />D. Branch Circuits <br />Nmv, Alterations, or Extension Per Panel <br />a) The fee for branch cireuita ~ <br />purchase of service of feeder fee <br />Each branch circuit $ 2.00 <br /> <br />b) The fee for branch cimuita without <br /> purclume of service or feeder fee <br />First branch circuit <br />Each additional brnnch circuit <br /> <br />2.00 <br /> <br />E. Miscellaneous (Servie~ or Feeder Not Included) <br />Each pump or irrigation circle $40.00 <br />Each sign or outline lighting $40.00 <br />Signal circuit(s) or a Ihnited energy <br />panel, alteration or extension 2540.00 <br />F. Each ndditionnl Inspection <br />Over the allowable in any of the <br />above, per Impeetion $35.00 <br />O. Miner Installation Labels <br />Pack of 10 labels @ $5.00 each $50.00 <br />(sold only to electrical contractors) <br />H. Other <br />(tls required by Building Official) <br />Au~ra Dwelling Electrical Fee <br />Dwelling Permit Label <br /> <br /> sq. It. x$.06 <br />//of Labels <br /> <br />5. FEE8 <br /> A 1. Enter total of tees from See.//4 <br /> A2. Add 5% surcharge (.05 x Al) <br /> <br />Subtotal <br /> <br />B. Enter 25% of line Al for Plan Review <br /> (Sec. 3), if required <br />C. Investigation Fee (if required) <br />D. Reinspeetion Fee ($25.00) <br /> <br />TOTAL AMOUNT DUE <br /> <br />Receipt No. <br /> <br /> <br />