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INSPECTION <br /> <br /> O~vne r :~,~--"'-- [ ' Phone: Mailing Address: <br /> <br /> JobAddress:~ . / i '~[~7-~L'J~ ~,ite¥o,: C'reYsStm~t: ~ <br /> ectric~ Fffm: ~ ~ Phone: Address: ~ <br /> <br />~8UP~ ~~'~le~rici~n" ~~ I~' Phone: ~ ~dd~ss~//~ ' ' <br /> Electri~ i Contra~or~ Ho.'~ ..... Home B~ldet's Registration No,; ~ <br /> p g . ~Useof ~ . ~ ~ Residential ~ New ~ Addition ~ Oooupauo~ ...... <br /> . Commercial ~ ¢~,t~a'io" ~ Relooation ~ Oh~nge ~ <br /> <br /> NO_ RESIDENTIAL <br /> ____ Residence wiring less than 1000sq, ft ................................. @ $ 50,00 <br /> __ Resldencewiringlessthan2000sq. ft ................................. @$ 75,00 <br /> __ Residencewldegover2000sq, ft .................................... @$ 105,00 <br /> __ Electric heat installation in existing residence ........................... @ $ 30.00 <br /> SERVICES <br /> __~ Temporary Construction Service ..................................... @ $ 3o.oo <br /> __ Service change only in an existing residence ........................... @ $ ,30,00 <br /> Commerotal or Induatrial: <br /> __ Servlcenotoverl00ampams ....................................... @$ 45.00 <br /> __ Serviceoverl00amparesbuteotmorethan200amperes ................. @$ 70.00 <br /> __ Serviceover200amparesbutnotmomthan400arnperes ................. @$ 100.00 <br /> __ Serviceover400amperesbutnotmorethan600amperes ................. @ $ 150.00 <br /> __ Serviceover600amperea ......................................... @ $ 200,00 <br /> __ Service over 600 volts ............................................. @ $ 450.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alteratlona or Relocation of Dletrlbutlon Feeders: <br /> __ Notmomthanl00amperes ........................................ @$ 25.00 <br /> __ Over 100 amperes but not more than 200 amperes ....................... @ $ 40,00 <br /> __ Over200amperesbutnotmorethan400amperes ....................... @$ 70.00 <br /> __ Over400amperes ............................................... @$ 85,00 <br /> __ Feederover600volts ............................................. @ $ 120.00 <br /> MISCELLANEOUS <br /> __ A. Eachtrailerormobilahomaspaae($ervi~eequipmem) .................. d~q~$ 25.00 <br /> __ B, Each supply for mobile home (Connection) ........................... @ $ 25,00 <br /> __ C. Each irrigation pump (At, ach a m~p ~howing location) ..................... @ $ 30.00 <br /> __ D, Eachelectdcslgnoroutllnelighting .............. ; .... ; .... 7: ...... @ $ 30.00 <br /> __ E, Each swimming pool (bonding) ................................... @ $ ,30.00 <br /> BRANCH CIRCUITS <br /> __ One new cimult; alteration or extension ............................... @ $ 20,00 <br /> ][ Twoormorenewcircuits;alterationsorextenslons ....................... Cd~$ 30.00 i.,.~.~'~. "-'-- <br /> __ Other (as per NEC and Building Official) ......................................... <br /> __ On-Site Techaical Review (apply directly at Marion County only) ...................... <br /> __ industrial Plant Inspection (apply directly at Marlon County only) ...................... <br /> __ Reinspectlon Fee ................................................ ~) $ 20.00 <br /> <br /> STATE SURCHARGE <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> with the indicated fee, <br /> <br />[] HOMEOWNEI~j~I hereby certify that I an~the owner o.~J. tb~e pr~pc~rty d~cribed above, at which location I propose to make an electrical installation for <br /> my own use ad~t this prop?~n~ein~/~o;~Ve, lease o_~nt, <br />;rcGINE¢;4U R E O F A PI= LICANT~ ~37~j (Swear dang his ow, work) <br />Re~ t2/88 <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br /> <br />