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FOR CITY VALIDATION <br />Received by: <br />Date: <br /> <br />MARION COUNTY BUILDING <br /> 285 Chttrch St NE Room 132 EC. II/I <br /> OR 9730] <br /> <br /> 21 hr. lltspecflolt Line 373-4427 r A ION COUNTy <br /> Office: PhoneFAX:SS~*Sld?sSS.?9~$:00nm - 4:30pm <br /> <br />IELECTRICAL PERMIT APPLICATION <br />Please complete all 8ecl~ons, I through <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />Dir~ions <br /> <br />PERMITS ARE NON-TRANSFERA BI~ AND EXPIRE IF WORK 1S NOT <br />b~fARTI~ WITHIN 180 DAYS OF ISSUANCIt OR IF <br /> WORII IS auaPI~DI~ FOR 180 DAYS. <br /> <br />2t. CONTRACTOR INSTALLATION ONLY <br /> <br />Pad<in Electric, Inc. 20250 8 Molalla Ave, <br />Oregon City, OR 97045 503-657-4958 <br />Contractors License #: 34-4C <br />Supe~isor: 4241-S <br />Contractors Board Reg #: 35151 <br /> <br />FOR OWNI~ ~TION8 <br /> <br />Mailing Addrea~ I Phmie <br /> <br />City/State/Zip <br /> <br />Owner's Signature: <br /> <br />3. PLARRBVIBW SECTION <br /> <br />Marion County does not require a plan review. <br />We will provide plan review servic~ if you coreplete <br />Section 5B and subreit two (2) sets of plans and <br />specifications with this application. <br /> <br />MC 15-341/96 <br /> <br />4. I:{~tB SCH~I)I.1L~ (C~mpl~, ~ ~ni~ loud ~ At ~) <br /> N~ber of <br />~ R~id~t~l P~ Unit <br /> ~lnelud~: <br />l~sq.~.~l~ Q~ ~5.~ 4 <br /> <br /> ~ ~n ~f~ $15.~ <br />~d E~ ~0.~ 1 <br /> <br />K ~ ~s ~ ~ ~el~ ~h ~ ~ ~t~ D) <br /> <br /> 200 aml~ or leas $50,00 2 <br /> 201 nmp~ to 4CO amI~ $150.00 ,2 <br /> 401 amp~ to 600 ~ $ t00.00 2 <br /> 601 aml~ to 1000 amps $1~0.00 2 <br /> Over lO00 amps o~ voles $3~.00 Z <br /> Reconnect only $40.00 2 <br /> <br />C. Tempor ir y ~ka'viean/Feed~'s <br />Installation, Alteration. ~r Rtdoeation <br />200 nml~ ct le~ $35.00 ,2 <br /> <br /> 401 am~ to 600 amp~ $~0.00 2 <br /> <br /> a) 'll~e fee for branch cimuite wi~ <br /> Eneh branch ci~uit $ 2.00 <br /> <br />~5.00 <br /> 2.OO <br /> <br /> sq. fi. x $.068 = <br /># of Labels. <br /> <br />5. FEES <br /> A 1. Ent~ total of feen tom 5~. i~l <br /> A2. Add 5% sur~harg~ (.05 x Al) <br /> <br />~ubtotal <br /> <br /> <br />