Laserfiche WebLink
~ l~.'~l~O..uN~G INSPECTION <br /> ~ ~,2Q High S~e,~t NE <br />Date: Ii-. L/ "~ <br /> <br /> ELECTRICAL PERMIT APPLICATION <br /> <br /> ~' ' ~S: ........... ' Site NO.: Cross ~r~ef, <br /> . .. <br /> Phone: Address; <br /> <br /> Su~er~.s~.~ectr~iani ' ' ~ Phbne: Address: <br />~~~ Home RegiStration No.: ~ ~ <br /> B~imder) <br /> <br /> 8upe~ising Useof New ~ Addition ~" Occupancy <br /> Ele~rioiaa~N0,: ] 4~.9, ~ Building: Alteration~ Rel0~atio, ~ Change <br /> <br />Please return COMPLETE APPLICATION <br />with the indicated fee. <br /> <br /> NO. RESIDENTIAL <br /> Residence wiring less then 1000 sa, ft ................................. @ $ 30.00 <br />.. ReSidencewlrlnglessthan2000sq, ft ................................. @$ 50,00 <br />__ Residencewiringove~2OOOsq, ff .................................... @$ 70,00 <br /> Electric heat installation in existing residence ........................ @ $ 20.00 <br /> SERVICES <br />__ Temporary Construction So,ice ..................................... @ $ 20.00 <br /> Service change only in an existing residence ........................... @ $ 20.00 <br /> <br />__ ServicenOtoverl00amperes ....................................... @$ 30.00 <br /> Service over 100 amperes but not more than 200 amperes ................ @ $ 50,00 <br />__ Serviceoverg00amperesbutnotmorethar400amperes ................. @5 70.00 <br />. . . ServJceover4ODareperesbuinetmors than600amperee ................. @ $ 100.00 <br />__ Serviceover600amaares ......................................... @ $ 130.00 <br />__ Serviceover600volts ............................................. @ $ 300.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Inatall~lon of Alterations or Relocation of Distribution Feeders: <br /> Not rnore than 100 amperes ........................................ @$ 20.00 <br />__ Overl00emperesbutnetmorethan200arnperes ....................... @$ 30,00 <br />__ Over 200 amperes but not more than 400 amDeres ....................... (~ $ 50.00 <br /> Over 400 arnDeres ............................................... @ $ 60.00 <br /> Feeder over 600 volts ............................................. @ $ 80,00 <br /> MISCELLANEOUS <br /> A. Eachtrailero~mobllehome.spacerSe~vlcsesuipment) .................. @$ 20.00 <br /> S. Each supply for mobile home (conneotion~ ........................... @ $ 20.00 <br />__ C, Each irrigation pump ~Attac~ a mas showing Iocatiom ..................... ~ $ 20,00 <br />__ D. Each electric aigrl er outline lighting.:: .......... :_._ ........ : .. ...... @ $ 20.00 <br />__ E. Each residential swimming pool ............................... @ $ 20.00 <br /> BRANCH CIRCUITS <br /> One new olreuit: alteration er extension ............................... @$ 15.00 <br /> .f' Two or more new circuits: alterations or extensions ....................... @ $ 20.00 <br /> Other las per NEC and Building Official) ......................................... <br />__ On-Site Technical Review (apply directly at Marion County only) ..................... <br />__ Industrial Plant Insoection (apply directly at Marion County only) ..................... <br />__ Reinspectton Fee ........................ <br /> FEE <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE <br /> <br />, <br /> <br /> NVESTIGATION FEE <br /> FLEET SURCHARGE .. '">7, ~ n[z <br /> <br /> HOMEOWNERS - I hereby ~i~ that I am the owner of the ~pe~ de~ribed above, at which location I ProDoss to make en ele~dcal installation for <br />~gGNATURE OF APPLICANT:. <br /> <br /> <br />