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FOR CITY VALIDATION[ <br />Received by:. <br />Date: <br /> <br />IELECTRICAL PERMIT APPLICATION <br />Please complete all Sections, I through <br /> <br /> 1. LOCATION OF INSTALLATION <br /> <br />MARION COUNTY BUILDING INSP~ ~-~ <br /> <br /> 285 Chu~h St NE * R~m 132 <br /> 0 7301 Jlll~E~:~J~l~l <br /> S~, R9 ~ .. ~1~1~ <br /> <br /> F~: sss494s ,.~ t~SPECTio~ <br /> <br />city <br /> <br /> PERM1TS ARE NON-TRAHSFERABLE AHD EX~IRE IF WORK IS NOT I <br /> STARI~D WITHIN 180 DAYS OF ISSUANCE OR IF <br /> WORK lS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSrALLATION ONLY <br /> <br />Parkin Electric, Inc. 20250 S Molalla Ave. <br />Oregon City, OR 97045 503-657-4958 <br />Contractom License #: 34-4C <br />Supemi~r: 4241-8 <br />ContractoB Board Reg #: 35151 <br /> <br />2B. FOR OWNER INSTALLATIONS <br />Property Owner (ple~se pritU) <br /> <br /> Mailing Addr~s l one <br /> City/State/Zip <br /> Owner': Signature: <br /> <br />3. PLAN REVIEW 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 1/96 <br /> <br />4. ]FEE SCHEDULE (Complete and entar total in A 1 below) <br /> Numbor of lnsp~ctinns per introit allowed <br />A. <br /> Reaidmltial <br /> Por <br /> Uni~ <br /> · ~'vice incioded: lteras Cost (each) Sum <br /> 1000 sq. ft. or less $85.00 <br /> Each additional 500 sq. ft. <br /> or t~ ~ion thereof $15.00 <br /> Lhnitcd Energy $20.00 <br /> <br /> Dwelling Service or F~ler $40.00 <br /> <br />Installation, Alteratio~ or Raloeation <br />200 amps or less $50.00 <br />201 amps to 400 amps $60.00 <br />401 amps to 600 amps $100.00 <br />601 amps to 1000 amps $130.00 <br />Over 1000 amps or volts $300.00 <br />Reconnect only $40,00 <br /> <br /> Temporary Serviced/Feeder ~ <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 volts <br /> <br />Branch Cirenlt ~ <br />New, Alt erations, er E~ten~ion Pen Panel <br /> a) The fee for branch ci~uils ~ <br /> <br /> Each branch circuit $ 2.00 <br /> <br />b) The fee for branch circuits without <br /> <br />Fb'at brmlch circuit <br />Each additional branch circuit <br /> <br />$35.00 ~ '~' <br />$ 2.00 <br /> <br />E. Miscellaneous (Service or Feeder Not Included) <br />Each pump or irrigation circle $40.00 2 <br /> Each sign or outline lighting $40.00 -- 2 <br /> Signal circu/t(s) or a limited energy <br /> panel, alleration or extension $40.00 2 <br />F. Each additional Inspection <br />Over tbe allowable in any of the <br />above, per Inspection $35.00 -- <br />O. Miner Installation Labels <br />Pack of 10 labels @ $5.00 each $50.00 -- <br />(sold oaly to electricM coatrsctors) <br />H. Othe~ <br />(As required by BuildiRg O~ciM) <br /> Aurora Dwelling Electrical Fcc __~q. fi. x $. 068 = -- <br /> Dwelling Permit Label # of Labels N/C <br /> <br />5. FEES ~ ~'~" <br /> A 1. Enter total of foes from Sec.//4 <br /> A2. Add 5% surcharge (.05 x Al) ~ <br /> Subtotal $ <br /> <br /> B. Enter 25% of line A 1 for Plan Review ~ <br /> (Sec. 3), if required <br /> $ <br /> C. Investigation Fee (if required) $___ <br /> D. Rc/nspcction Pac ($25.00) $.__ <br /> TOTAL AMOUNT DUE $ 3~'7g <br /> Receipt No, <br /> <br /> <br />