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FOR CITY VALIDATION <br />Received by: <br />Date: <br /> <br /> ELECTRICAL PERMIT APPLICATION <br /> Please complete all Sections, I through 5 <br /> <br />1. LOCATION OF llqSTALLATION <br /> <br />City ~/t~ ,(C3~ ~ <br /> <br /> PF~MITS ARE NON-TRANSFERABLE AND EXPIRE IP WORK IS NOT <br /> STARTED WITHIN IS0 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPI~YDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> I <br /> <br />Parkin Electric, Inc. 20250 S Molalla 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 />Signature of Supervising Electrician <br /> <br />Supervisor's License No. <br /> <br />2B. FOR O~ I~ISTALLATIONS <br /> <br /> Ptope~y Owner (plem~ pri~) <br /> Mailing Addre~ ] Phone <br /> City/Slate/Zip <br /> Owner's 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 SCHEd3ULE (Complete and ~nter total ia A 1 below) <br /> Number of Inspections pe~ permit allowed -~ <br />A. <br /> R~idenrial <br /> Unit <br /> Service Included: Items Cost (each) Sum <br /> lOOO sq. ft. or less $85.00 4 <br /> Each additional 500 sq. ft. <br /> or 0ortion thereof $15.00 <br /> Limited Energy $20.00 1 <br /> Each Manufactured Home ar Modular <br /> <br /> 200 amps or less $50.00 __2 <br /> 201 amps to 400 amp~ $60.00 -- 2 <br /> 401 amps to 600 ampa $100.00 2 <br /> 601 ampsto 1000amps $130.00 __2 <br /> Over 1000 amps or volta $300.00 -- 2 <br /> Reconnect only $40.00 -- 2 <br /> <br /> 200 amps or le~ $35.00 2 <br /> 201 amps to 400 amps $40.00 -- 2 <br /> 401 amps to 600 ampa $80.00 2 <br /> Over 600 ampa or 1000 volta <br /> <br /> a) Th~ fe~ for branch circuits ~ <br /> purchase of service of feeder fee <br /> Each branch circuit $ 2.00 <br /> <br />$35.~ <br />$2.00__ <br /> <br />E. Miscellaneous (survioe or Feeder Net Included) <br />Each pump or irrigation circle $40.00 __ 2 <br />Each sign or outline lighting $40.00 2 <br />Signal circuit(s) or a limitud energy <br />panel, alturabon or extension $40.00 2 <br />F. Each additional Inspection <br />Over the allowable in any of the <br />above, per Inspection $35.00 -- <br />O. Minor Installutinn Labels <br />Pack of i0 labels @ $5.00 each $50.00 -- <br />(sotd only to electrics l eontcsctors) <br />H. Other <br />(As required by Buildir~ Off, aiM) <br />Aurora Dwelling Electrical Fee .vq. fl. x &068 = -- <br />Dwelling Pan'nit Label # of Labels N/C <br /> <br />5. FEES <br />Al. Enter Iolal of fees from Sec,/~[ $.-~---2~ <br />A2. Add 5% surcharge (,05 x Al) S-- <br /> Subtotal $ <br /> <br /> B. Eater25% ofllueA1 for Plan Review <br /> (Sec. 3), if required $.__ <br /> C. Investigation Fee (if required) $.__ <br /> D. R¢inapection Fee ($25.00) $.__ <br /> <br /> TOTAL AMOUNT DUE <br /> Receipt No. <br /> <br /> <br />