Laserfiche WebLink
~ USE O~LY <br />Received by: <br />Date: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> FAX: <br /> <br />2A_ CONTRACTOR ~-"'TALLATtON ONLY <br /> <br />... ,I .. <br />Signature of S Electrician <br /> <br />Supervisor S License No ~ Phone No <br /> <br />2B. FOR OWNER II~;TALI. AllONS <br /> <br />Properly Owner <br /> <br />Issued by:: <br /> <br />4. FEE SCHEDULE (Complete and enter total in A~ below) <br />Number of In~l)*Cflon~ par permit allowed <br /> <br />(A~ required by ~i1¢~ OfhC~a/) <br /> <br />3, PLAN REVIEW SEC'liON <br /> Check approp~a~ item and enler fee in Set,on 5B <br /> <br /> · Connected Lead over 200 amps (except single family d,,,~ilings) <br />__ I~Jilding system over 200 amps (except sbgle family dwellings) <br /> System over 600 vo~ts <br />__,_ Building ever 2 stodes <br />____ Building over 10.000 square feet <br /> <br /> Hszardous Locations <br /> <br />5. I <br /> A~ Enter total of fees from Sec #4 <br /> A~ Add 5% ~urd~a~e (.05xA~) <br /> <br /> Subtotal <br /> <br />B. Enter 25% of line A~ for Plan P, ev~ew <br /> (Sec 3), if required <br />C Investigation Fee (if required) <br />D Remspec~on Fee ($~,00) <br /> <br />TOTAL AMOUNT DUE <br /> <br />2 <br />2 <br /> <br />2 <br /> <br />2 <br /> <br />2 <br /> <br /> <br />