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Received By <br />Date' <br /> <br />MARION COU ,N._TY BUILDING INSPECTION <br /> · ~nator Bldg. NO. 225 <br /> 220 High Street NE <br /> <br /> ODd. A-Phone 4;30 AU- 8,00 A,,M- <br /> EUtLOl _COUNty <br /> ELECTRICAL PERMIT APPLICATION N~/N3PE~TiON <br /> <br /> Job Address;: <br /> <br /> Electrica~ Firm <br /> Supervising Electrician <br /> Electrical Contractor's No <br /> <br />'~-u"~'~rvising [ Useof <br /> Elactriclan:s No :: ~ ~C~-S Building <br /> <br />Phone:: <br /> <br />Mailing Address:: <br /> <br /> Site No,;: <br /> <br /> Phone <br /> <br /> Phone <br /> <br /> Home Builder's Registration No <br /> <br />Residential ~ New <br />Commercial ~ Alteration <br /> <br />Cross Street <br /> <br />Address:: <br /> <br />Ad,roSS:; <br /> <br />Addition ~ Occupancy <br />Relocation [] Change L~ <br /> <br /> No. RESIDENTIAL <br />.... Residence wiring less than 1000 sq ft ..... {:./~ $ 5000 <br /> ~. Residense wiring less than 2000 sq ft ~ $ 75.00 <br />__ Residencewiringover2000sq ft .... (.-q}$ 10500 <br />..... Electric heat installation in existing residence .... (~ $ 3000 <br /> SERVICES <br />__ Temporary Construction E;ervice ........... @ $ 3000 <br />__ Serviceehangeonlyinanexistingresidence ........ ~?$ 3000 <br />Commercial or IRduetrlal: <br />Service not over 100 amperes ......... (~ $ 4500 <br />__ Service over l00 amperes but not more than 200 amperes @$ 70,,00 <br />__, Serviceover200amperesbutnotmorethan400amperes @$ 10000 <br />__ Service over 400 amperes but not more than 600 amperes @ $ 150 g0 <br />__ Service over 600 amperes ~) $ 20000 <br />__ Service over 600 volts ~:, $ 450 00 <br /> COMMERCIAl AND INDUSTRIAL FEEDERS <br />Jnstallation Of Alterations or Rel~ation of Distribution Feeders: <br />........... Net more than 100 amperes ........ @ $ 2500 <br />__ Over 100 amperes but not mcca than 200 amperes .... @ $ 40.00 <br />-- Over 200 amperes but not more than 400 amperes _(-¢ $ 70 O0 <br />..... Over 4.00 amperes ......... (-c~ $ 8500 <br />__ Feeder over $00 volts ....... @ $ 120,00 <br /> MISCELLANEOUS <br />__ A Eachtrailerorrnobllehomespaee(Ser¢Ceequ~pmen~ ....... ~¢-¢$ 2500 <br /> S, Eachsupplyformobilehome(Csnnection) ....... ¢'$ 2500 <br />__ C, Eachirrigationpump(Atta~hamapshowin~location) ....... ~$ 30,00 <br />__ D Each electric sign or outline lighting ~z~ $ 30 00 <br />...... E, Each swimming pool(bonding) (~i) $ 3000 <br /> BRANCH CIRCUITS <br /> <br />_.__ One newcircuit, alteration or extension (¢ $ ~000 <br /> <br />__ Other (as per NEC and Building Official) <br />__ On-Site Technical Review (apply directly at Marion County only) <br />.... Industrial Plant Inspection (apply directly at Marion County only) <br />__ Reinspectien Fee C&$ 2000 -- <br /> FEE <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION PLAN REVIEVVPEE __ <br />with the indicated fee, INVESTIGATION FEE <br /> <br /> No: <br /> <br />[] HOMEOWNERS - I hereby certify that I am the owner of the property described above: at which location ] propose to make an electrical installation for <br /> my own usa and this proper y I$ not being constructed for sa e lease or rent, <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> <br />