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~ CO~ DEVELOPMENT CE~ <br /> ' ~ ~5 Ch~ch St NE* Room 132 -l~J~ <br />~OR C~Y V~DA~O~{ S~em O~ 9730, <br /> <br /> O~ce: Phone ~88-5147 8:00am - 4:30pm <br /> <br />~ complete ~1 ~tions, I through 5 I 4. ~E <br /> ~b~ <br /> A. Rmidem~al <br /> <br />PF~RMITS ARE NON-TRANSFErABLE AND EXHRE IF WORK IS NOT <br />~TARTED V~ITHIN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSI~'~qDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />Pa~in Electric, Ir~c 20250 S Mola[ia Ave. <br />Oregon City, OR 97045 503-657-4958 <br />Contractors License #: 34-4C <br />Supervisor: 4241-S <br />Contractors Board Reg #: 35151 <br /> <br />2B. FOR OWNILR INSTALLATIONS <br /> <br /> I <br />Mailing Addre~ [ Phone <br /> <br />City/State/Zip <br /> <br />Owner's Signature: <br /> <br />3. PLANRBVIEW SBCTION <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 15-341/96 <br /> <br />8ervlce Included: <br />1000 sq. fl. or le~s $85,00 4 <br />Each additional 500 sq. fL <br /> or po~in~ thereof $15.00 <br />Limi~l Bnergy $20.00 '"1 <br />Each IVlmmfactured Home or Modular <br /> Dwelling Service or Feeder $40.OO 2 <br /> <br />B. 8et-vices or Feeders (Does not include branch circuils, see section D) <br /> <br /> 200 amps or less $50.00 2 <br /> 20t araps to 400 amps $60.00 2 <br /> 401 amps to 600 amps $100.00 2 <br /> fi01 amps to 1000 amps $130.00 ..2 <br /> Over 1000 amps or volts $3OO.OO ~ 2 <br /> Reconnect only $40.00 2 <br /> <br />C. Temporary ServiceelPeede~s <br />Installation, Alteration, o~ Relocation <br />200 amps or less $35.00 2 <br />201 amps to 400 amps $40.00 2 <br />401 amps to 600 amps $80.00 , 2 <br />Over 600 amps or 1000 volts <br /> <br />D. Branch Circuits <br />New, Alteratlona, or ftxlension Per Panel , I'~ l ~d'~ ~ <br />F. ach bmnch circuit $ 2.00 <br />b) The fee for braoch cimulls without <br /> <br /> First branch cirouit ! $35,00 <br /> Each additional branch circuit $ 2.00 <br /> <br />E. Miscellaneous (~Service or Feeder Not Included) <br /> Each pump or in'igatlon circle <br /> l~eh sign or ourse lighting <br /> Signal circuit(s) or a limited energy <br /> <br />F. Each additional In~peotio~ <br /> Over the allowable in any of the <br /> above, per Inspection <br />O. Minor Instnil~ti~n Labels <br /> Pack of 10 labels @ $5.00 each <br /> (sold only w electr/cM contractors) <br />H. Other <br /> (A~ r~quir~d by Ea/M~ng <br /> Aurora Dwelling ElccLrieal Fee <br /> Dwelling Permit Label <br /> <br />$40.00 , 2 <br /> <br />$35,00 <br /> <br />$50.OO <br /> <br /># of Lab~.ls, <br /> <br />5. FEES <br /> Al. Enter total of fees from S~c,/~4 <br /> A2. Add 5% surcharge (.05 x Al) <br /> Subtotal <br /> <br /> B. Enter 25% of line A I for Plan Review <br /> (Soc. 3), if required <br /> C. Investigation Fee (ifrequlred) <br /> D, Rcimpecfion Fee ($25.OO) <br /> <br /> TOTAL AMOUNT DUE <br /> Receipt No. <br /> <br />$ <br />$ <br /> <br /> <br />