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~i~.D\~G, ~"~'~' ~'~ ' ELEc~RiCAL:pERMI? APPLICATION <br /> <br /> Ph~_n e: ~ <br /> Site No,: Cross Street: ~J <br /> / , <br /> ' ~ ' Uae of ~)/~"'~ New ~E~ Addition" ~ ~up~nCy <br />Supe~i~ing <br /> . ~ Alteration ~ Relocation ~ Change <br />El~tdclan~ NO.: Building: <br /> <br />No, RESIDENTIAL <br /> Residence wiring less than 1000 sq, ft ................................ @ $ 30.00 <br /> Residence wiring less than 2000 aq, ft ................................. @ $ 50.00 <br /> Residencewiringover2000~,ft .................................... @ $ 70.00 <br /> Electric heat instaltation in existing residence ........................... @ $ 20.00 <br /> SERVICES <br /> Temporary Construction Service ..................................... @ $ 20,00 <br /> Service change only in an existing residence ........................... @ $ 20-00 <br /> Coremeretsl or InduStrial: <br /> , Service not over 10C amperes ....................................... @ $ 30.00 <br /> Service over 100 amperes but not more than 200 amperes ................. @ $ 50.00 <br /> Service over 200 emperes but not more than 400 amperes ................. @ $ 70.00 <br /> Serviceover400emperesbut not morethan60Oamperes ................. @ $ 100,00 <br /> Serviceover6gOamperes ......................................... @ $ 130,00 <br /> Service over 600 volts ............................................. @$ 300.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> InStallation of Alterations o~' Relocation of Distribution Feeders: <br /> Not more then 100 amperes ........................................ @ $ 20.00 <br /> Over 100 amperes but not more than 200 amperes ....................... @ $ 30.00 <br /> Over 200 amperes but not more then 400 amperes ....................... @ $ §0;00 <br /> Over400amperes ............................................... @ $ 60.00 <br /> Feeder over 600 volts ............................................. @ $ 80,00 <br /> MISCELLANEOUS <br /> A. Each trailer or mobile home space (Ser~4ce equipment) ................. @ $ 20,00 <br /> B. Each supply for mobile home IConnectionl .......................... @ $ 20.00 <br /> C, Each irrigation pump (Attach a map showing lOCation) ..................... @ $ 20-00 <br /> D, Eachelectrlcslgnoroutlicelighting ................................ @$ 20,00 <br /> E, Each residential swimming pool ................................. @ $ 20,00 <br /> BRANCH CIRCUITS <br /> One new cimuit: alteration or extension ............................... @ $ 15.00 <br /> ~ Two or more new circuitS; alterations or extensions ....................... @ $ 20.00 <br /> Other (as per NEC end Building Official) ......................................... <br /> On-Bite Technical Review ~epply directly at Marion County only) ...................... <br /> Isdu~riel Plant InspeCtion (apply directly et Marion County only) ..................... <br /> Reiespectlon Fee ., FEE <br /> STATE SURCHARGE <br /> ..... PLAI~ RE-VIEW. EEE <br /> <br />Please return COMPLETE AP-PblCATION <br />with the indicated fee. <br /> <br /> INVESTIGATION FEE <br /> FLEET SURCHARGE <br /> TOTAL $ <br /> <br />~ GNATURE 0F APPL CANT .~~ t/ '~~ <br />~ HOMEOWNERS - I hemW ce~i~ thet I am the owner Ct the pmpe~ de~rlbed above at~hich Iocetion propose m ma~ an ele~rlcel installation for <br /> my own uce and this pmpe~ is not being construmed for sale, Ieee or rant, <br /> <br />MC 15-34 <br /> <br /> <br />