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Date <br /> <br />Supervising Electrician <br /> <br />Electrical Contractor's NO,;: <br /> <br />Supervising <br />Eleetri¢ian~ NO <br /> <br />"'MA'RI-O~t~'C~0'U~-'TY BU LD NG NSPECT ON <br /> Senator Bldg,, No,, 225 <br /> <br /> ELECTRICAL PERMIT APPLICATION <br /> <br />Phone <br /> <br />Site No,;; <br /> <br />Phone <br /> <br />Phone:: <br /> <br />Ueeof ¢,.. [ Residential <br /> 7¢ '-- <br /> <br />Address:: <br /> <br />Home Builder's Registration No:: <br /> <br /> I~ New <br /> [] Alteration F~ <br /> <br /> No. RESIDENTIAL <br /> Residence wiring Iaaa fhe, n 1000 Sq ft (~ $ 5000 <br /> Residence wiring tess than 2000 sq ft ('¢~ $ 75 00 <br />__ Residence wiring over 2000 aq ft (~h $ 10500 <br /> Electric heat installation in existing residence (~ $ 30 00 <br /> SERVICES <br />........ Temporary Construction Service r~,$ 3000 <br />__ Servicechangeonly in an existing residence ¢_¢ $ ~0 00 <br /> Commercial or Industrial: <br /> ..... Service not over 100 amperes r~: $ 45 00 <br />__ Service over 100 amperes but eot more than 200 amperes E<: $ 70 00 <br />__ Service over 200 amperes but not more than 400 amperes (~¢ $ 10000 <br /> Service aver 400 amperes but not more than 600 amperes (<~, $ 150 0g <br />__ Serviceover600amperes f~¢ $ 20000 <br /> Service over 600 volts ~ $ 450,00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br /> <br />Addition [] Occupancy <br />Relocation [] Change <br /> <br />Not more than 100 amperes (a $ 25 00 <br />-- Overl00amperesbutnofmorethae200~mperes (d $ 4,000 <br />___ Over 200 amperes but not mare than 400 amgeres fi, $ 70 00 <br />__ Oder 400amperes (~ $ 8500 <br />___ Feederever600volts (,~, $ 120 00 <br /> MISCELLANEOUS <br />__ A Each trailer or mobile hame space (Serwceequlpment~ (n $ 25 00 <br />__ B E~ch supply for mobile home (Qonnectiom (~ $ 25 00 <br />__ C EachirrigationpumpfAttacn~moCshow,nelocat~on~ (a $ 3000 <br />D Each electric sign or outline hghtmg g, $ 30,00 <br />E Each swimming pool bonding ti~ $ 3000 <br /> BRANCH CIRCUITS <br />____ Onenewcircuit, alterationorextension <~ $ 2000 <br />__ Two er more new circuits, alterahonaorextensions (r~$ 30,00 <br /> <br /> Other (as per NEC and E~uilding Official) <br /> __ On-Site Technical Review (apply daectly a( Marion County ~nly) <br /> Industrial Plant Inspection (apply directly at M~rion County only) <br /> __ Reinspection Fee t~ $ 20 00 <br /> FEE ..... <br /> STATE SURCHARGE ~.._,.....~.._~....~_,~ .......... <br /> PLAN REVIEW FEE <br /> Please return COMPLETE APPLICATION ~4'.~.,~:~ ~}x-~ ~.,~6~ <br /> with the indicated fee, I=LEET SURCHARGE <br /> TOTAL <br /> <br /> · · · <br /> <br />[] HOMEOWNERS - I hereby certify that I am the owner of the property described above, at which location I propose to make an etactncal installation for <br /> my awn uae and this proper[y is not being constructed for sa[e, le,~se or rent <br /> <br />S[GNATURE OF APPLICANT --, <br /> <br /> <br />