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/?.~-. ,, ,~.~ _ tt %~R~COUNTY BUILDING INSPECTION <br /> [~0~ ~S~CTRICAL PERMIT APPLICATION <br /> <br /> ~Ut~-~'' '' <br />Job Add,ss <br />Supervising Electrician Phone Add'ess <br /> <br />Electrical Contractor~ No ........ Home Builder~ Registration ~o,;; <br /> <br />Supervising ' ~eof ~t~l~ " Residential ~ Addition ~" Occupancy <br />Etectdc~an~No Bu~tding--~,~ Commem~a~~ ~A~r~ Re~ocation ~ Chan~e <br /> <br /> NO,, RESIDENTIAL <br />__ Residence wiring less than 1000 sg ft ........ ('¢ $ 50 00 <br />__ Residencewiring lessthan 2000 sq ft ('~ $ 75.00 <br />__ Residence wiring aver 2000 sq. ft @ $ 105 00 <br />__ Electric heat installation in existing residence @ $ 20.00 <br /> SERVICES <br />/ Temporary Construction Service ~ $ 3000 <br />. Service change silly in an existing residence .... (~ $ 3000 <br />Commercial or Industrial: <br />__ Service not over 100 amperes ....... @ $ 45 00 <br />__ Service over 100 amperes but not more than 200 amperes .... @ $ 7000 <br />__ Serviceoverg00amperesbutnotmorethen400emperes C~$ 100.00 <br />__ Serviceover400amperesbutnotmorethan600amperes ....... 6' $ 150.00 <br />........... Servise over 600 amperes ........... Co~$ 20000 <br />__ Service aver 600 volts .............. ~ $ 450.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relocation of Distribution Feeders: <br />.... Not more than 100 amperes ........... ¢_~.$ 2500 <br />__ Over 100 amperes but not more than 200 amperes ......... @ $ 40,00 <br />__ Over200amperesbutnotmorethan400amperas ~;$ 70,00 <br />__ Over4OOamperes @$ 8500 <br />__ Feederover6OOvolts ~,$ 120,00 <br /> MISCELLANEOUS <br /> ....... AEe, shtrellerormobilehomespase(Serviceequipment) .... . C¢$ 25.00 <br /> ___ B. Each supply for mobile home (Connection) ........ ~ $ 25 00 <br /> __ C EachirrigatiOnpump(Attachamapshowing[ocation) ...... @$ 30.00 <br />__ B Eachelectricsignor outlinelighting ...... ~* $ 2000 <br />__ E Eachswimmingpool(bonding) £~z~ $ 2000 <br /> BRANCH CIRCUITS <br />...... One new circuit; alteration or extension .... ~z. $ 20 O0 <br />__ Twoormorenewcirouits;slterationsorextensions 6'$ 3000 <br />.......... Other (as per NEC end Building Official) <br />__ On-Site Technical Review (apply directly at Marion County only) <br />__ Industrial Plant Inspection (apply directly at Marion County only) <br />__ Reinspection Fee ~' $ ~000 <br /> FEE <br /> STATE SURCHARGE <br />Please return COMPLETE APPLICATION ..,~ PLAN REVIEW FEE <br />with the indicated fee, ~ <br /> E <br /> FLEET SURCHARGE <br /> TecTAL <br /> <br /> Job No: <br /> ISuper~istng <br />[] HOMEOWNERS-I hereby certify that L~133Jle owr~/o,/t~/e/propertydescribed above, at which location I propose to make an electrJoalin,t¢lation for <br /> <br />MC 15'34 ~[ ~~ (~ner d,lng hi* ~n wark) <br /> <br /> <br />